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Questions 210

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Extract:


Question 1 of 5

How often must physical restraints be released?

Correct Answer: A

Rationale: Physical restraints must be released every 2 hours to assess skin, circulation, and comfort, with checks every 30 minutes while restrained. Safety and Infection Control

Question 2 of 5

Which prescriptions for these clients does the nurse question? Select all that apply.

Correct Answer: D,E

Rationale: Metoprolol is contraindicated with a BP of 94/40 mm Hg due to risk of worsening hypotension. Ampicillin, a penicillin derivative, is unsafe for a client with a penicillin allergy. Vancomycin, lispro insulin, and pantoprazole are appropriate for the respective conditions.

Question 3 of 5

The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:

Correct Answer: B

Rationale: Caffeine can affect heart rate and test results, so it should be avoided before a stress test.

Question 4 of 5

The nurse is caring for a client with bacterial meningitis who has been placed on droplet precautions. Which personal protection is mandatory for the nurse when administering medications?

Correct Answer: D

Rationale: Droplet precautions for bacterial meningitis require a surgical mask to prevent transmission via respiratory droplets. A face shield, gown, or N95 respirator is not mandatory unless additional precautions are indicated.

Question 5 of 5

The nurse is caring for a client with newly prescribed hearing aids. Which of the following actions by the client indicate proper use and care of hearing aids? Select all that apply.

Correct Answer: B,D,E

Rationale: Lowering TV volume indicates effective hearing aid use, turning volume down prevents feedback, and verifying the battery compartment ensures functionality. Rinsing with water damages hearing aids, and placing them on a food tray risks contamination or loss.

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