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Questions 148

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Question 1 of 5

A client is admitted with a blood alcohol level of 180 mg/dL. The nurse recognizes that the alcohol in the client's system should be fully metabolized within:

Correct Answer: D

Rationale: A blood alcohol level of 180 mg/dL (0.18%) typically takes about 9 hours to metabolize, assuming a metabolism rate of 0.02% per hour.

Question 2 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

Question 3 of 5

All of the following are examples of secondary disease prevention EXCEPT

Correct Answer: A

Rationale: Secondary prevention detects/treats disease early (mammograms, syphilis testing, exercise post-MI). Support groups (
A) are tertiary, aiding coping with existing disease.

Question 4 of 5

The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse's action should be to:

Correct Answer: B

Rationale: Hypotension and unresponsiveness suggest hypovolemia or shock, so increasing the normal saline infusion is the initial action to restore volume.

Question 5 of 5

The nurse is aware that African-Americans are at higher risk than Caucasians for which of the following conditions? Select all that apply.

Correct Answer: A,B

Rationale: African-Americans have a higher risk for hypertension (
A) and diabetes mellitus (
B) compared to Caucasians due to genetic and socioeconomic factors. Asthma (
C) risk is similar across groups, while skin cancer (
D) and osteoporosis (E) are less prevalent in African-Americans.

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