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Questions 149

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Extract:


Question 1 of 5

In the team nursing model of client care,

Correct Answer: B

Rationale: Team nursing involves an RN leading a team (LPN, UAP) to collaboratively care for a group of clients, with tasks delegated based on scope of practice.

Question 2 of 5

The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:

Correct Answer: C

Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.

Question 3 of 5

The client has an order for Claforan 665 mg. The directions say to reconstitute with 10 mL of bacteriostatic water to yield a concentration of 95 mg/mL. How many milliliters of solution should the nurse administer to give the dose of 665 mg?

Correct Answer: 7 mL

Rationale: Dose: 665 mg. Concentration: 95 mg/mL. Volume: 665 mg ÷ 95 mg/mL = 7 mL.

Question 4 of 5

The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:

Correct Answer: D

Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.

Question 5 of 5

A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?

Correct Answer: A

Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.

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