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Questions 149

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Extract:


Question 1 of 5

A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?

Correct Answer: B

Rationale: narcotic analgesic, causes CNS and respiratory depression, contraindicated in head injury because it masks signs of increased intracranial pressure

Question 2 of 5

Which task is included in the working phase of the nurse-client relationship?

Correct Answer: C

Rationale: The working phase involves evaluating progress toward goals, building on strengths identified earlier.

Question 3 of 5

The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough?

Correct Answer: A

Rationale: A mask is the most appropriate PPE to prevent transmission of respiratory infections from a client with a cough, as it protects against droplet spread.

Question 4 of 5

The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.

Correct Answer: A,C

Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.

Question 5 of 5

The nurse is caring for a client with COPD. Which of the associated disorders has changes that are reversible?

Correct Answer: C

Rationale: Asthma is characterized by reversible airway obstruction, unlike bronchiectasis, emphysema, and chronic bronchitis, which involve permanent structural changes.

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