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Questions 149

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Question 1 of 5

A nurse from the dialysis unit floats to the med-surg floor. He is doing afternoon rounds and medication administration. He brings a client her oral medications, but the client states, 'What is this? Where is my yellow pill? This big white one is not mine.' The best action from the nurse is to

Correct Answer: A

Rationale: Verifying with the MAR and pharmacy ensures medication safety when a client questions a pill’s appearance, preventing potential errors.

Question 2 of 5

The nurse is asked by the nurse aide, 'Are peptic ulcers really caused by stress?' The nurse would be correct in replying with the following:

Correct Answer: D

Rationale: Peptic ulcers are primarily caused by H. pylori infection, though stress can contribute to other types of ulcers.

Question 3 of 5

A 62-year-old female comes to the clinic with the complaint that her vision seems cloudy. What other signs and symptoms may the client mention that are suggestive of cataracts? Select all that apply.

Correct Answer: C,E

Rationale: Cataracts cause cloudy vision, difficulty with night vision, and halos around lights. Diplopia, nausea, or eye pain are not typical.

Question 4 of 5

When providing care for a client with pancreatitis, the nurse would anticipate which of the following orders?

Correct Answer: B

Rationale: Pancreatitis often requires an NG tube with suction to reduce gastric secretions and pancreatic stimulation, aiding in symptom management.

Question 5 of 5

A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?

Correct Answer: B

Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding

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