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Questions 149

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Extract:


Question 1 of 5

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help with decreasing the client's confusion by:

Correct Answer: D

Rationale: A nightlight reduces disorientation and confusion in elderly clients by providing visual cues in the dark.

Question 2 of 5

A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

Correct Answer: A

Rationale: Administering eye drops 5 minutes apart prevents dilution and ensures each medication's efficacy.

Question 3 of 5

The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.

Question 4 of 5

What airborne precautions should the nurse anticipate when a client with measles is admitted to the hospital? Select all that apply.

Correct Answer: C,D

Rationale: Measles requires airborne precautions, including a negative pressure room (
C) and an N-95 respirator (
D). Surgical masks (
A) are insufficient, and dedicated entrances (E) are not standard. Client masking during transport (
B) is recommended but not always mandatory.

Question 5 of 5

A client with end-stage renal failure receives hemodialysis via an arteriovenous fistula (AV) placed in the right arm. When caring for the client, the nurse should:

Correct Answer: C

Rationale: Auscultating for a bruit confirms AV fistula patency, which is critical for hemodialysis.

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