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Questions 210

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Question 1 of 5

A client recovering from a head injury is receiving medication and nutritional feedings by nasogastric tube. The doctor has ordered medication to prevent seizure activity. The medication is supplied by the pharmacy in tablet form. Before administering the medication, the nurse should:

Correct Answer: D

Rationale: For NG tube administration, liquid medication is preferred to ensure proper delivery and absorption. Crushing tablets may alter efficacy, and oral administration is inappropriate.

Question 2 of 5

Which of the following instructions would not be included in the discharge teaching for a client receiving Thorazine (chlorpromazine)?

Correct Answer: B

Rationale: Avoiding aged cheese is relevant for MAOIs, not chlorpromazine. Protective clothing prevents photosensitivity, hard candy relieves dry mouth, and reporting a sore throat is critical for agranulocytosis.

Question 3 of 5

The nurse has attended a staff education program about ethical practices in nursing. Which of the following statements by the nurse would indicate a correct understanding of the program? Select all that apply.

Correct Answer: A,D,E

Rationale: Accountability involves taking responsibility for errors (
A). Fidelity is keeping promises, such as timely medication delivery (
D). Nonmaleficence includes preventing harm by reporting abuse (E). Autonomy respects the client's decision-making, not family decisions (
B), and confidentiality does not extend to withholding suicidal ideation, which requires intervention (
C).

Question 4 of 5

Which of the following are correct nursing actions related to client positioning? Select all that apply.

Correct Answer: B,D,E

Rationale: Trendelenburg on the left traps air in the heart’s apex for air embolism, side-lying with flexion aids lumbar puncture access, and arm elevation facilitates chest tube placement. Fowler post-catheterization risks bleeding, and right side-lying is standard post-liver biopsy.

Question 5 of 5

A nurse is caring for a 2-year-old with a new diagnosis of strabismus. Which intervention should the nurse anticipate?

Correct Answer: D

Rationale: Patching the unaffected eye strengthens the weaker eye in strabismus by forcing its use, a common non-surgical treatment in children. Laser surgery is not typically used, eye drops are irrelevant, and intraocular pressure measurement is for glaucoma, not strabismus.

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