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Questions 164

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Extract:


Question 1 of 5

Immediately following a cardiac catheterization, the client asks to go to the toilet. What is the best response by the nurse?

Correct Answer: D

Rationale: Post-catheterization, bed rest is required to prevent bleeding at the insertion site; a bedpan maintains immobility.

Question 2 of 5

Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?

Correct Answer: D

Rationale: Tube patency should be checked prior to all feedings. The feeding should not be attempted if the tube is not patent.

Question 3 of 5

The nurse is reviewing a nutritional plan for a 6-month-old who has recently been started on solid foods. Which of the following recommendations has the highest priority in the plan?

Correct Answer: C

Rationale: Introducing new foods 5-7 days apart (
C) prevents allergic reactions by identifying triggers, making it the priority. Cost (
A), finger foods (
B), and cow's milk (D, not recommended before 12 months) are secondary.

Question 4 of 5

The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?

Correct Answer: C

Rationale: The patient is in danger of respiratory depression due to narcotic administration; therefore, this would be a priority assessment. Answer A does not relate to the PCA, so it is incorrect. Answer B is not a priority, making it wrong. Pain relief in answer D is important, but not as important as airway, so it is incorrect.

Question 5 of 5

A client who has been waiting for several hours in the clinic waiting room suddenly begins to shout, 'I need some attention and I need it now!' How should the nurse respond initially?

Correct Answer: C

Rationale: Engaging the client to assess her needs de-escalates agitation and addresses concerns. Silencing, calling security, or explaining delays may escalate tension.

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