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Questions 149

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Question 1 of 5

An 82-year-old woman is being admitted to a long-term care facility. Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale. To determine a Braden Scale score, the nurse evaluates all of the following EXCEPT

Correct Answer: C

Rationale: The Braden Scale assesses sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Past history of skin breakdown is not a scored category.

Question 2 of 5

The client is taking prednisone 7.5 mg po each morning to treat his systemic lupus erythematosis. Which statement best explains the reason for taking the prednisone in the morning?

Correct Answer: D

Rationale: Morning dosing aligns with the body's natural cortisol peak, minimizing adrenal suppression.

Question 3 of 5

The nurse is evaluating cerebral perfusion outcomes for a client with a subdural hematoma. The nurse evaluates which of the following as a favorable outcome for this client?

Correct Answer: A

Rationale: An arterial blood gas POâ‚‚ of 98 indicates adequate oxygenation, supporting cerebral perfusion, which is a favorable outcome for a subdural hematoma.

Question 4 of 5

Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?

Correct Answer: B

Rationale: Swimming is low-impact, promoting joint mobility and muscle strength without stressing joints in juvenile rheumatoid arthritis.

Question 5 of 5

The nurse is taking a history from a client in an outpatient clinic. The client has been taking duloxetine (Cymbalta) for fibromyalgia. Which of the following over-the-counter medications would cause the nurse some concern if the client says she is taking it?

Correct Answer: D

Rationale: Dextromethorphan can interact with duloxetine, increasing the risk of serotonin syndrome, a potentially serious condition.

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