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Questions 164

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Question 1 of 5

A nurse is assigned to a client who is newly admitted for treatment of a frontal lobe brain tumor. Which history offered by the family members would be recognized by the nurse as associated with the diagnosis, and communicated to the provider?

Correct Answer: B

Rationale: I find the mood swings and the change from a calm person to being angry all the time hard to deal with. Frontal lobe tumors affect emotions and judgment, causing mood swings and personality changes.

Question 2 of 5

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:

Correct Answer: D

Rationale: A night light reduces confusion by improving visibility and orientation. Constant supervision is impractical, room-sharing may worsen confusion, and sedatives increase fall risk.

Question 3 of 5

A client using a diaphragm should be instructed to:

Correct Answer: A

Rationale: Leaving a diaphragm in place longer than 8 hours increases infection risk. Resizing is needed for significant weight changes (e.g., 10+ pounds) or post-surgery, not minor changes.

Question 4 of 5

The nurse has attended a staff education program about obtaining blood specimens from newborns via heel stick. Which of the following statements by the nurse would require follow-up?

Correct Answer: B

Rationale: The center of the heel (
B) should be avoided to prevent bone injury; lateral or medial aspects are used. Sucking (
A), wiping the first drop (
C), and warming (
D) are correct.

Question 5 of 5

A client scheduled for a computerized axial tomography (CAT) using a contrast medium scan of the brain should be assessed for:

Correct Answer: B

Rationale: Contrast medium often contains iodine, so assessing for iodine sensitivity prevents allergic reactions. Claustrophobia, liver function, and implants are secondary concerns.

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