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Questions 164

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Question 1 of 5

Following a motor vehicle crash, the nurse stops to help a victim who has a laceration with spurting blood. The nurse giving reasonable assistance could be held liable despite Good Samaritan laws in which situations? Select all that apply.

Correct Answer: A,C

Rationale: Accepting money negates Good Samaritan protection, and failure to apply direct pressure could be considered negligent care.

Question 2 of 5

The nurse is reinforcing discharge instructions to the parent of a child with Kawasaki disease. The nurse informs the parent that the presence of which symptom should be immediately reported to the health care provider?

Correct Answer: A

Rationale: Fever in Kawasaki disease may indicate persistent inflammation or complications, requiring immediate reporting.

Question 3 of 5

An adult woman has been diagnosed with varicose veins. Which aspect of her history is most likely related to her diagnosis?

Correct Answer: A

Rationale: Multiple pregnancies increase intra-abdominal pressure and venous stasis, contributing to varicose veins. Running, normal weight, and sedentary work are less directly related.

Question 4 of 5

The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.

Correct Answer: C

Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.

Question 5 of 5

The nurse is caring for a 75 year old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?

Correct Answer: A

Rationale: Extreme fatigue. Extreme fatigue and weakness are common, early signs of digitalis toxicity, which would be confirmed by a high blood serum level of digitalis.

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