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Questions 149

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Extract:


Question 1 of 5

An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client

Correct Answer: D

Rationale: prevents respiratory complications due to immobility following surgery

Question 2 of 5

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

Correct Answer: C

Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.

Question 3 of 5

The nurse is preparing to administer a dose of lisinopril (Zestril) to a client with hypertension. The client’s blood pressure is 100/60 mmHg. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: lisinopril is an ACE inhibitor

Question 4 of 5

The nurse knows which of the following body systems is responsible for the production of somatostatin?

Correct Answer: B

Rationale: Somatostatin is produced by the gastrointestinal system (e.g., pancreas and stomach) to regulate digestion and hormone release.

Question 5 of 5

When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:

Correct Answer: B

Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.

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