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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

The nurse in the mental health unit is talking with several clients during group therapy. A client becomes angry and throws a fire extinguisher at another client. Which of the following actions would be a priority for the nurse to take?

Correct Answer: C

Rationale: Ensuring safety by escorting others away (
C) is the priority. Rapid response (
A) may be premature, approaching the client (
B) risks escalation, and informing of consequences (
D) is secondary.

Question 3 of 5

The nurse is preparing to take a toddler's blood pressure for the first time. Which of the following actions should the nurse perform first?

Correct Answer: D

Rationale: Permit handling the equipment before putting the cuff in place. The best way to gain the toddler's cooperation is to encourage handling the equipment. Detailed explanations are not helpful.

Question 4 of 5

The pediatric nurse cares for a 16-year-old client who is scheduled for an appendectomy in the morning. Which of the following interventions are appropriate to support the client's psychosocial needs?

Correct Answer: B,D,E

Rationale: Peer visits (
B), active participation (
D), and addressing body image (E) support a teen's psychosocial needs. Strict schedules (
A) reduce autonomy, and parental presence (
C) may not align with the teen's preferences.

Question 5 of 5

The nurse administers cimetidine (Tagamet) to a 79 year-old male with a gastric ulcer. Which parameter may be affected by this drug, and should be closely monitored by the nurse?

Correct Answer: C

Rationale: The elderly are at risk for developing confusion when taking cimetidine, a drug that interacts with many other medications.

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