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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

Before administering Methyltrexate orally to the client with cancer, the nurse should check the:

Correct Answer: D

Rationale: Checking vital signs ensures the client is stable before administering Methotrexate, which can cause systemic side effects.

Question 3 of 5

Where is the best site for examining for the presence of petechiae in an African American client?

Correct Answer: C

Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.

Question 4 of 5

An important intervention in monitoring the dietary compliance of a client with bulimia is:

Correct Answer: C

Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.

Question 5 of 5

The nurse is assessing a 6-year-old following a tonsillectomy. Which one of the following signs is an early indication of hemorrhage?

Correct Answer: A

Rationale: Drooling of bright red secretions indicates active bleeding, a critical sign of post-tonsillectomy hemorrhage requiring immediate attention.

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