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Questions 227

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Extract:


Question 1 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 2 of 5

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

Correct Answer: C

Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

Question 3 of 5

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

Correct Answer: B

Rationale:
Tolbutamide, an oral hypoglycemic, is effective for type 2 diabetes patients who produce minimal insulin, stimulating insulin release. Type 1 diabetics (
A) produce no insulin, injection inability (
C) is irrelevant, and low blood glucose (
D) is not an indication for tolbutamide.

Question 4 of 5

The nurse is assessing a client with a history of asthma who presents with decreased breath sounds and prolonged expiration. The nurse should prioritize which of the following actions?

Correct Answer: A

Rationale: Decreased breath sounds and prolonged expiration indicate an asthma exacerbation with bronchoconstriction, requiring a bronchodilator to open airways. Coughing (
B) is ineffective during an attack, X-rays (
C) are diagnostic, and supine positioning (
D) worsens breathing.

Extract:

The incidence of Sickle Cell Anemia is higher among black American babies.


Question 5 of 5

The symptoms of sickle cell anemia are not evident until later during infancy because

Correct Answer: C

Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.

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