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Questions 149

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Question 1 of 5

A nurse working in ICU has a client on a propofol (Diprivan) drip while on the mechanical ventilator. The nurse needs another bottle, which must be picked up in person in the hospital pharmacy. Which is the correct action by the nurse concerning this medication?

Correct Answer: D

Rationale: The nurse must ensure continuous client monitoring, so asking another nurse to cover while retrieving the controlled medication is the safest action.

Question 2 of 5

The nurse is caring for a client with suspected AIDS dementia complex. The first sign of dementia in the client with AIDS is:

Correct Answer: B

Rationale: Loss of concentration is an early cognitive change in AIDS dementia complex.

Question 3 of 5

The nurse is caring for a client following a crushing injury to the chest. Which finding would be most indicative of a tension pneumothorax?

Correct Answer: B

Rationale: Tension pneumothorax causes a mediastinal shift, including tracheal deviation toward the unaffected side due to increased intrathoracic pressure.

Question 4 of 5

The nurse is caring for a client with bulimia nervosa. The nurse recognizes that the major difference in the client with anorexia nervosa and the client with bulimia nervosa is the client with bulimia:

Correct Answer: C

Rationale: Clients with bulimia often recognize their eating disorder, unlike those with anorexia, who may deny the problem due to distorted body image.

Question 5 of 5

The physician has inserted an esophageal balloon tamponade in a client with bleeding esophageal varices. The nurse should maintain the esophageal balloon at a pressure of:

Correct Answer: D

Rationale: A pressure of 20-25 mmHg effectively compresses varices to control bleeding without causing tissue damage.

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