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Questions 163

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Extract:


Question 1 of 5

An adult who had a laryngectomy is ready for discharge. What question is it essential for the nurse to ask the client before discharge?

Correct Answer: B

Rationale: Smoke detectors are critical post-laryngectomy, as impaired speech and potential airway issues increase fire safety risks, making this a priority discharge question.

Extract:

Vital signs
Temperature 100.9 F (38.3 C)
Blood pressure 125/75 mm Hg
Heart rate 109/min
Respirations 15/min
SpO2 100%


Question 2 of 5

The nurse is caring for a postpartum client 36 hours after a cesarean birth who was just diagnosed with postpartum endometritis. Which prescription is priority for the nurse to administer?

Correct Answer: B

Rationale: Postpartum endometritis requires prompt antibiotic treatment, so clindamycin IV is the priority to address the infection. Acetaminophen , fluids , and methylergonovine are supportive or unrelated.

Extract:


Question 3 of 5

The client is scheduled for a paracentesis. What should the nurse expect to do prior to the procedure?

Correct Answer: B

Rationale: Having the client void before paracentesis prevents bladder puncture during the procedure. Catheter insertion, NPO status, or enemas are not typically required.

Question 4 of 5

A client is receiving oxygen therapy via a nasal cannula. When providing nursing care, which of the following interventions would be appropriate?

Correct Answer: B

Rationale: Inspect the nares and ears for skin breakdown. Oxygen therapy can cause drying of the nasal mucosa. Pressure from the tubing can cause skin irritation.

Question 5 of 5

The nurse is assessing a 55 year-old female client who is scheduled for abdominal surgery. Which of the following information would indicate that the client is at risk for thrombus formation in the post-operative period?

Correct Answer: A

Rationale: Estrogen increases the hypercoagulability of the blood and increases the risk for development of thrombophlebitis.

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