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Questions 164

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Question 1 of 5

A client scheduled for a femoral popliteal bypass is to be assigned to a semi-private room. Which client would be the most suitable roommate for the client with a femoral popliteal bypass graft?

Correct Answer: A

Rationale: The client with a pituitary tumor is the most suitable roommate as they are unlikely to have an infectious condition or mobility issues that could complicate recovery. Respiratory sarcoidosis may involve respiratory issues, increasing infection risk. A diabetic ulcer poses an infection risk due to potential open wounds. A closed femur fracture may involve similar mobility restrictions, complicating room logistics.

Question 2 of 5

A client, admitted to the unit because of severe depression and suicidal threats, is placed on suicidal precautions. The nurse should be aware that the danger of the client committing suicide is greatest

Correct Answer: B

Rationale: Suicide potential is often increased when there is an improvement in mood and energy level. At this time ambivalence is often decreased and a decision is made to commit suicide.

Question 3 of 5

Joan is at lunch in the hospital cafeteria with a nurse coworker. Joan is very allergic to nuts and always carries her anaphylactic kit with her. Joan tells her coworker that there must have been nuts in something she ate because she is having increasing difficulty breathing. What should the nurse do immediately?

Correct Answer: B

Rationale: Administering the anaphylactic kit medication (epinephrine) is the immediate action to reverse anaphylaxis, prioritizing airway patency.

Question 4 of 5

The clinic nurse is reinforcing teaching to a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed?

Correct Answer: D

Rationale: Antacids reduce levothyroxine absorption, requiring further teaching. Blood monitoring , lifelong use , and morning dosing are correct.

Question 5 of 5

The nurse is observing a nursing assistant providing care. Which action indicates that the nursing assistant understands universal precautions?

Correct Answer: C

Rationale: Wearing a gown for soiled linen contact adheres to universal precautions, preventing contamination. Limited hand washing, excessive gloves, or no hand washing post-gloves are incorrect.

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