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Questions 149

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Extract:


Question 1 of 5

A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:

Correct Answer: C

Rationale: O negative blood is the universal donor type, safe for transfusion in emergencies when B negative blood is unavailable.

Question 2 of 5

A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:

Correct Answer: A

Rationale: Surgery is recommended for an inguinal hernia to prevent strangulation, which can lead to bowel obstruction and tissue necrosis.

Question 3 of 5

A triage nurse is reviewing messages from four clients. The nurse's priority is which client?

Correct Answer: B

Rationale: Jaw and back pain intensifying rapidly in a 42-year-old female suggests a possible myocardial infarction, a life-threatening emergency requiring immediate attention.

Question 4 of 5

The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.

Correct Answer: A,C

Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.

Question 5 of 5

Upon arrival in the nursery, erythomycin eyedrops are applied to the newborn's eyes. The nurse understands that the medication will:

Correct Answer: B

Rationale: Erythromycin eyedrops are used to prevent neonatal conjunctivitis, which can lead to blindness, particularly from gonorrhea or chlamydia exposure.

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