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Question 1 of 5

A client is receiving oxygen per nasal cannula at 3 L/minute. Which of the following is the approximate inspired oxygen concentration (FiO2)?

Correct Answer: D

Rationale: Nasal cannula at 3 L/min delivers approximately 28-32% FiO2 (
D), as each liter adds about 4% above room air (21%).

Question 2 of 5

A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer: D

Rationale: Acyclovir can cause nephrotoxicity, so encouraging fluids is critical to prevent kidney damage.

Question 3 of 5

The nurse is caring for an obstetrical client in early labor. After the rupture of membranes, the nurse should give priority to:

Correct Answer: B

Rationale: Assessing fetal heart tones is critical after rupture of membranes to detect fetal distress, such as cord compression.

Question 4 of 5

Upon entering the client's room the nurse discovers a dose of amoxicillin at the bedside. Which of the following should the nurse do?

Correct Answer: A

Rationale: Documenting in the medical record and filing an incident report address the medication error and ensure follow-up for patient safety.

Question 5 of 5

The nurse is supervising a student nurse on the oncology unit who is providing care for a client with neutropenic precautions. Which action by the student nurse requires intervention by the supervising nurse?

Correct Answer: C

Rationale: Potted plants pose an infection risk (e.g., mold) for neutropenic clients and are prohibited. Other actions are appropriate.

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The nurse is caring for a client receiving pantoprazole. The nurse understands that long-term use of proton pump inhibitors increases the risk of which serious side effects? Select all that apply.
A nurse is observing a local softball game when one of the players is hit in the nose with a ball. The player's nose is visibly deformed and bleeding. The best way for the nurse to control the bleeding is to:
The nurse is caring for a child with Down syndrome. Which characteristics are commonly found in the child with Down syndrome?

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