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Questions 160

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Question 1 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

Question 2 of 5

A hospitalized client diagnosed with cancer has a sealed source of radiation inserted into the vagina. Which information is most important for the charge nurse to obtain to ensure the safety of the nurse assigned to care for the client?

Correct Answer: B

Rationale: Pregnancy contraindicates caring for clients with internal radiation due to fetal risk, making this the most critical information.

Question 3 of 5

After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?

Correct Answer: B

Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.

Question 4 of 5

The nurse is teaching a client about self-administration of insulin. Which site is most appropriate for insulin injection?

Correct Answer: D

Rationale: The abdomen has consistent subcutaneous tissue and rapid absorption, making it ideal for insulin injections.

Question 5 of 5

After a 6-year-old child undergoes a tonsillectomy, the nurse instructs the parents to avoid giving the child aspirin or aspirin products. What is the best explanation for the nurse's instruction?

Correct Answer: B

Rationale: Aspirin is linked to Reye's syndrome in children, a rare but serious condition, especially post-viral infections.

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