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Question 1 of 5

A client has received thrombolytic therapy, and the physician has ordered meperidine (Demerol) IM for pain. Before administering the injection, the nurse should

Correct Answer: B

Rationale: implementation, complications of thrombolytic therapy include bleeding, which can occur with intramuscular injections; nurse should confer with the physician about the appropriateness of the order

Question 2 of 5

Which of the following assessments would be a priority when documenting the nursing history of a two-year-old child?

Correct Answer: A

Rationale: during a crisis such as hospitalization, children are able to establish a sense of security through consistency of the rituals and routines from home

Question 3 of 5

The nurse is caring for a client with Cushing's syndrome. Which of the following nursing actions would be of HIGHEST priority?

Correct Answer: D

Rationale: respirations are the first priority; clients with Cushing's syndrome are prone to fluid overload and CHF due to sodium and water retention

Question 4 of 5

The nurse is preparing a client for a herniorrhaphy. It would be MOST important for the nurse to complete which of the following one hour prior to surgery?

Correct Answer: B

Rationale: surgical consent should be rechecked prior to going to surgery

Question 5 of 5

An elderly man is admitted to an inpatient psychiatric unit with an initial diagnosis of psychotic depression. The INITIAL nursing priority is to

Correct Answer: C

Rationale: initial nursing priority for all psychiatric patients is to ensure their safety and the safety of all members of the milieu

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