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Question 1 of 5

A client with a history of a brain tumor is receiving Decadron (dexamethasone). The nurse should monitor the client for:

Correct Answer: A

Rationale: Dexamethasone, a corticosteroid, causes weight gain due to fluid retention and increased appetite. Hypotension, hypoglycemia, and hair loss are not typical side effects.

Question 2 of 5

A 74-year-old female client is 3 days postoperative. She has an indwelling catheter and has been progressing well. While the nurse is in the room, the client states, 'Oh dear, I feel like I have to urinate again!' Which of the following is the most appropriate initial nursing response?

Correct Answer: B

Rationale: The most frequent reason for an urge to void with an indwelling catheter is blocked tubing, so checking the catheter's patency is the best initial response.

Question 3 of 5

Parents of young children often need anticipatory guidance from the nurse. Parents may have little knowledge regarding growth and development. Which of the following toys and activities would the nurse suggest as appropriate for a toddler?

Correct Answer: C

Rationale: These activities provide the toddler (1-3 years old) with a variety of physical activities for play, suitable for their developmental stage.

Question 4 of 5

The nurse is caring for a client with a history of a retinal detachment who is scheduled for a scleral buckling procedure. The nurse should:

Correct Answer: B

Rationale: Eye drops (e.g., mydriatics) are often ordered pre-scleral buckling to dilate the pupil or reduce pressure. Flat positioning, fluid restriction, and breathing exercises are not standard.

Question 5 of 5

A client requires log rolling after back surgery. Correctly provide the sequence of steps the nurse should follow when performing the procedure.

Order the Items

Source Container

Obtain assistance; three nurses are preferable.
Maintain client's position in alignment with pillows.
Position two nurses on the side the client will be turned to and the third nurse on the opposite side of the bed.
Designate the person at the head of the bed to be in charge of coordinating the move.
Place a pillow between the client's knees.
Move the client in one coordinated movement when the nurse at the head of the bed signals to move the client.
Instruct the client to place the arms across the chest.

Correct Answer: A, C, D, G, E, B, F

Rationale: Log rolling sequence: Obtain assistance (
A), position nurses (
C), designate leader (
D), instruct arm placement (G), place pillow (E), align with pillows (
B), move coordinately (F).

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