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Questions 149

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Extract:


Question 1 of 5

An adolescent client is seen by the nurse at a school where a fatal shooting incident occurred on campus 3 months earlier. The nurse documents that the client is experiencing flashbacks, avoiding the location of the shooting, having angry outbursts, and experiencing a loss of interest in playing his favorite musical instrument. The nurse suspects the client is experiencing post-traumatic stress disorder. Which intervention would be the best for the nurse to implement?

Correct Answer: B

Rationale: Referring to the multidisciplinary crisis team ensures comprehensive, coordinated care for suspected PTSD, leveraging expertise beyond the nurse’s scope.

Question 2 of 5

A newborn is diagnosed with respiratory distress syndrome (RDS). Which position is best for maintaining an open airway?

Correct Answer: D

Rationale: Supine with slight neck extension helps maintain an open airway in newborns with RDS by reducing airway obstruction and aiding breathing.

Question 3 of 5

A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:

Correct Answer: A

Rationale: OTC allergy medications, like antihistamines, can interact with antipsychotics, potentially reducing their effectiveness or causing side effects.

Question 4 of 5

The nurse has a client complaining of chest pain. Where should the nurse place the V5 lead for a 12-lead EKG?

Correct Answer: A

Rationale: The V5 lead is placed in the left anterior axillary line at the fifth intercostal space for a 12-lead EKG.

Question 5 of 5

The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?

Correct Answer: D

Rationale: The prone position with a pillow under the shoulders and abdomen provides optimal access to the kidney for a renal biopsy.

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