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Questions 149

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Extract:


Question 1 of 5

Following a disaster with multiple victims and danger to those present, which group should have priority for protection from injury?

Correct Answer: B

Rationale: Firefighters and police officers (
B) have priority for protection as they are essential for managing the disaster and ensuring safety for others. Victims (
A), bystanders (
C), and healthcare providers (
D) follow in priority.

Question 2 of 5

A client is receiving hospice and palliative care, including analgesia and other comfort measures. Which of the following indicates the client is undergoing life review? Select all that apply.

Correct Answer: A,C

Rationale: Looking at photos (
A) and reminiscing about parenting (
C) indicate life review, reflecting on past experiences. Other statements (B, D, E) relate to pain or end-of-life wishes.

Question 3 of 5

A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client's vital signs that include:

Correct Answer: B

Rationale: Severe pain from renal calculi can cause increased blood pressure due to sympathetic nervous system activation and stress response.

Question 4 of 5

The client is having a cardiac catheterization. During the procedure, the client tells the nurse, 'I'm feeling really hot.' Which response would be best?

Correct Answer: B

Rationale: A warm sensation is a normal response to the injection of contrast dye during cardiac catheterization.

Question 5 of 5

A client with a C3 spinal cord injury experiences autonomic hyperreflexia. After placing the client in high Fowler's position, the nurse's next action should be to:

Correct Answer: B

Rationale: Autonomic hyperreflexia is often triggered by bladder distension; ensuring a patent catheter addresses the most common cause and can resolve symptoms.

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