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Questions 160

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Question 1 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

Question 2 of 5

In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?

Correct Answer: C

Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.

Question 3 of 5

Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?

Correct Answer: A

Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.

Question 4 of 5

The nurse is obtaining a hospital admission history for the client. Which statement should prompt the nurse to consider that the client has chronic prostatitis?

Correct Answer: B

Rationale: A. Chronic prostatitis does not cause erectile dysfunction. B. Both chronic bacterial prostatitis and chronic prostatitis/pelvic pain syndrome manifest with ejaculatory pain. C. Chronic prostatitis does not cause rectal pain. D. Obstructive bladder symptoms, such as incomplete bladder emptying, are uncommon unless the client also has BPH.

Question 5 of 5

The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Sunken eyes, increased thirst, tachypnea, and poor skin turgor are signs of dehydration; bradycardia is not.

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