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Questions 149

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Question 1 of 5

A client has been instructed in the application and use of anti-embolic compression stockings. Which of the following statements by the client indicates a need for more teaching? Select all that apply.

Correct Answer: A,B,D

Rationale: Rolling the top down (
A) can impede circulation, removing stockings every 1-2 days (
B) is too infrequent (should be every 8 hours), and baby powder (
D) can cause skin irritation. Turning the stocking inside out (
C) and preventing clots (E) are correct.

Question 2 of 5

What clinical manifestation is most indicative of possible carbon monoxide poisoning?

Correct Answer: C

Rationale: Cherry red mucous membranes are a hallmark of carbon monoxide poisoning due to carboxyhemoglobin formation, which gives tissues a bright red appearance.

Question 3 of 5

The nurse is caring for a client who is postoperative day 2 following a cholecystectomy. The client reports nausea and has not had a bowel movement since surgery. Which of the following actions should the nurse take FIRST?

Correct Answer: D

Rationale: assessment of bowel sounds is the first step to determine if there is a postoperative ileus or other complication

Question 4 of 5

A manic client is admitted to an inpatient psychiatric center. He is hyperactive, talking quickly, acting aggressively, and pacing. The nursing staff should

Correct Answer: D

Rationale: A manic client’s behavior requires close supervision for safety. Assigning an RN to stay with the client ensures monitoring and intervention as needed.

Question 5 of 5

Which of the following characterizes peer group relationships in 8- and 9-year-olds?

Correct Answer: B

Rationale: At 8-9 years, children form strong same-sex friendships with loyalty, often engaging in group activities that reinforce social bonds.

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