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Questions 149

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Question 1 of 5

A client with psychotic depression is receiving haloperidol (Haldol). Which of the following adverse effects is associated with haloperidol?

Correct Answer: A

Rationale: Akathisia, a movement disorder characterized by restlessness, is a common extrapyramidal side effect of haloperidol.

Question 2 of 5

A client is receiving a blood transfusion following surgery. In the event of a transfusion reaction, any unused blood should be:

Correct Answer: D

Rationale: Unused blood must be returned to the blood bank for analysis in case of a transfusion reaction.

Question 3 of 5

The nurse in the ER has received report of four clients en route to the emergency department. Which client should the nurse see first? A client with:

Correct Answer: A

Rationale: Third-degree burns to the face and neck with singed nasal hairs suggest airway burns, a life-threatening condition requiring immediate airway assessment and management.

Question 4 of 5

Two nurses are preparing to pull a client up in the bed. Which actions by the nurses are correct in regard to safe client handling? Select all that apply.

Correct Answer: B, C, E

Rationale: Asking the client to cross arms, using a lifting device if needed, and flattening the bed or using slight Trendelenburg promote safe handling. The bed should be at working height, and elbows should stay close to the body.

Question 5 of 5

The nurse is part of an interdisciplinary team in a rehabilitation unit. Which of the following statements by a client is most important to be communicated to the social worker on the team?

Correct Answer: A

Rationale: Inability to afford help (
A) is a social issue requiring the social worker's intervention for resources. Other concerns (B, C,
D) are addressed by therapy or nursing.

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