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Questions 149

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Question 1 of 5

A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?

Correct Answer: A

Rationale: Foscarnet requires monitoring for toxicity, making this client a priority.

Question 2 of 5

Damage to the VII cranial nerve results in:

Correct Answer: C

Rationale: The VII cranial nerve (facial nerve) controls facial muscles; damage causes facial paralysis, affecting eye movement (e.g., inability to close the eye).

Question 3 of 5

An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

Correct Answer: B

Rationale: Narcan reverses opioid overdose, a potential complication of narcotic use post-surgery.

Question 4 of 5

The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

Correct Answer: B

Rationale: Mental confusion in diabetes insipidus may indicate severe dehydration or electrolyte imbalance, so checking vital signs is the priority to assess stability.

Question 5 of 5

The nurse is reviewing the results of a sweat test taken from a child with cystic fibrosis. Which finding supports the client's diagnosis?

Correct Answer: B

Rationale: A sweat chloride concentration greater than 60 mEq/L is diagnostic for cystic fibrosis, indicating defective chloride transport.

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