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Questions 227

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Extract:


Question 1 of 5

A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?

Correct Answer: A

Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.

Question 2 of 5

A patient with borderline personality disorder is exhibiting self-harming behaviors. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: Providing immediate medical care for injuries ensures safety and addresses physical harm, the priority in self-harming behaviors. Ignoring, punishing, or only discussing feelings delays critical intervention.

Question 3 of 5

A postoperative client is to be discharged today. She will need to change her dressing daily. Which statement she makes indicates that she understands the process?

Correct Answer: A

Rationale: Hand washing before and after dressing changes prevents infection, reflecting proper understanding.
Touching dressings, cleaning toward the incision, or improper disposal increase infection risk.

Question 4 of 5

An adult is to have a paracentesis performed today. What should the nurse do before the procedure?

Correct Answer: B

Rationale: Emptying the bladder before paracentesis prevents accidental puncture of the bladder during needle insertion into the abdominal cavity. Fluid intake, NPO status, or premedication are not immediate pre-procedure priorities.

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 5 of 5

Appropriate patient teaching when the chest tube is removed:

Correct Answer: A

Rationale: Holding a deep breath during removal prevents air entry into the pleural space.

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