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Questions 158

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Question 1 of 5

A client with a history of a fractured femur is in skeletal traction. The nurse should:

Correct Answer: B

Rationale: Cleaning pin sites with saline (or per protocol) prevents infection in skeletal traction. Turning is limited, lotion is unnecessary, and removing weights disrupts traction.

Question 2 of 5

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

Correct Answer: B

Rationale: Adding baby oil to bath water moisturizes skin, relieving pruritus in hepatitis. Warm showers (
A) and hot rinses (
D) may worsen itching, and powder (
C) can dry skin further.

Question 3 of 5

Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

Correct Answer: D

Rationale: 6-Mercaptopurine is used for Crohn's disease, not ulcerative colitis, so the nurse should question its order.

Question 4 of 5

A two-year-old is being evaluated for hearing loss. Which finding in the child's history is likely to be a significant factor?

Correct Answer: D

Rationale: Meningitis treated with garamycin (gentamicin) is a significant risk factor for hearing loss as gentamicin is ototoxic and meningitis can damage auditory nerves. The other factors are less directly associated with hearing impairment.

Question 5 of 5

A client with a history of rheumatoid arthritis is admitted with complaints of joint swelling. The nurse should give priority to:

Correct Answer: A

Rationale: Anti-inflammatories reduce joint swelling and pain in rheumatoid arthritis, improving function.

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