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Questions 149

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Question 1 of 5

A client with end-stage renal failure receives hemodialysis via an arteriovenous fistula (AV) placed in the right arm. When caring for the client, the nurse should:

Correct Answer: C

Rationale: Auscultating for a bruit confirms AV fistula patency, which is critical for hemodialysis.

Question 2 of 5

When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

Correct Answer: A

Rationale: A fundus displaced to the right on the first postpartum day is often due to bladder distention, which should be assessed next.

Question 3 of 5

The nurse is preparing to discharge a client following a trabeculoplasty for the treatment of glaucoma. The nurse should instruct the client to:

Correct Answer: D

Rationale: Eye protection prevents injury and supports healing post-trabeculoplasty.

Question 4 of 5

A nurse is teaching a group of teenagers the correct technique for applying a condom. Which point would the nurse include in the teaching plan?

Correct Answer: B

Rationale: The condom should be unrolled completely over the erect penis to ensure proper fit and protection. Condoms are single-use, petroleum jelly damages latex, and water isn't used.

Question 5 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.

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