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Questions 149

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Question 1 of 5

A student nurse is developing a care plan for a 23-year-old woman with Meniere's disease. Which of the following would NOT be an expected intervention?

Correct Answer: A

Rationale: Meniere’s disease causes vertigo and hearing loss, not typically requiring narcotic pain medication. Low-sodium diets, assistance with mobility, and balanced meals help manage symptoms.

Question 2 of 5

A nurse is preparing to mix and administer chemotherapy. What equipment would be unnecessary to obtain?

Correct Answer: C

Rationale: Chemotherapy requires protective equipment (gloves, gown, Luer lok tubing to prevent leaks), but a surgical hat cover is unnecessary unless in a sterile field, which isn't typical for chemo administration.

Question 3 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The nurse notes that the client has a respiratory rate of 28 breaths per minute, is using accessory muscles, and has oxygen saturation of 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: positioning in high Fowler’s facilitates breathing and improves oxygenation immediately; other actions may follow based on further assessment

Question 4 of 5

The nurse is caring for a client with acquired immunodeficiency syndrome who has oral candidiasis. The nurse should clean the client's mouth using:

Correct Answer: B

Rationale: A soft gauze pad is gentle and effective for cleaning the mouth in oral candidiasis without causing trauma.

Question 5 of 5

The nurse recognizes that if eaten by a client, which food can alter results when stool is checked for occult blood?

Correct Answer: D

Rationale: Beef contains heme, which can cause a false-positive result in a fecal occult blood test. Other foods listed do not typically interfere.

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