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Questions 149

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Question 1 of 5

A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

Correct Answer: A

Rationale: Administering eye drops 5 minutes apart prevents dilution and ensures each medication's efficacy.

Question 2 of 5

A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:

Correct Answer: D

Rationale: Morphine sulfate is the most effective for severe, acute pain due to its strong opioid properties.

Question 3 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile infection causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated colonic inflammation.

Question 4 of 5

The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:

Correct Answer: A

Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.

Question 5 of 5

A client has signs of increased intracranial pressure. Which one of the following is an early indicator of deterioration in the client's condition?

Correct Answer: D

Rationale: A decrease in level of consciousness is an early and sensitive indicator of increased intracranial pressure, reflecting cerebral compromise before other signs like pupil changes or vital sign alterations.

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