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Questions 149

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Question 1 of 5

A client has been prescribed tetracycline (Sumycin) for Lyme disease. All of the following statements indicate successful client teaching regarding this medication EXCEPT

Correct Answer: A

Rationale: Tetracycline should not be taken with antacids, as they reduce absorption. The other statements are correct: pregnancy is a contraindication, photosensitivity requires sunscreen, and dairy products interfere with absorption.

Question 2 of 5

The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.

Order the Items

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Grasping draw sheet at shoulder and lower hips, roll patient on count of three.
Place a small pillow between client's knees.
Place pillows along length of client's back.
Cross client's arms across chest.

Correct Answer: D,B,A,C

Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.

Question 3 of 5

The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

Correct Answer: C

Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.

Question 4 of 5

The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?

Correct Answer: C

Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.

Question 5 of 5

Two days' postpartum, a nursing mother develops swollen, taut, and very painful breasts. Which of the following is the most likely cause?

Correct Answer: A

Rationale: Swollen, taut, and painful breasts two days postpartum are most likely due to engorgement (
A), a common condition as milk supply increases. Insufficient milk (
B), blocked ducts (
C), and mastitis (
D) present differently or later.

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