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Questions 227

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Extract:


Question 1 of 5

A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:

Correct Answer: D

Rationale: Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality.

Question 2 of 5

The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?

Correct Answer: B

Rationale: Inducing vomiting after ingesting hydrocarbons like lighter fluid is contraindicated due to the risk of aspiration, which can cause severe lung damage.
Choice A is correct (Ipecac dosing is appropriate), choice C is accurate (dilution can help), and choice D is true (locked storage prevents poisoning). Further teaching is needed for choice B.

Question 3 of 5

A nurse is assigned to care for a comatose diabetic on IV insulin therapy. Which task would be most appropriate to delegate to an unlicensed assistive personnel (UAP)?

Correct Answer: B

Rationale: The UAP can safely obtain blood glucose readings, which are routine tasks.

Extract:

Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:


Question 4 of 5

The nurse should act independently to prevent this complication by:

Correct Answer: C

Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.

Extract:


Question 5 of 5

Which statement describes factors that help build personal power in an organization?

Correct Answer: B

Rationale: Networking, mentoring, and coalition building are positive uses of personal power to meet goals.

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