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Questions 149

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Question 1 of 5

A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

Correct Answer: B

Rationale: The rubella vaccine is contraindicated in clients with egg allergies, as it may be grown in egg-based cultures.

Question 2 of 5

The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

Correct Answer: B

Rationale: Washing bed linens in hot water helps eliminate lice and nits, which is a key part of treatment for pediculosis capitis.

Question 3 of 5

The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which of the following laboratory values should the nurse check before administering the dose?

Correct Answer: B

Rationale: heparin’s therapeutic effect is monitored by aPTT, which should be 1.5–2 times the control value

Question 4 of 5

The nurse caring for the child with a large meningomylocele is aware that the priority care for this client is to:

Correct Answer: A

Rationale: Moist, sterile gauze prevents infection and drying of the meningomyelocele defect.

Question 5 of 5

The nurse is caring for a client with a tracheostomy tube in place. During tracheostomy care, the nurse accidentally dislodges the tube. Which of the following actions should the nurse take FIRST?

Correct Answer: A

Rationale: immediate reinsertion of a tracheostomy tube is critical to maintain airway patency

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