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Questions 149

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Extract:


Question 1 of 5

The blood alcohol concentration of a client admitted following a motor vehicle accident is 460 mg/dL. The nurse should give priority to monitoring the client for:

Correct Answer: B

Rationale: A blood alcohol concentration of 460 mg/dL (0.46%) is life-threatening, with respiratory depression being the priority due to its potential to cause death.

Question 2 of 5

Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives?

Correct Answer: B

Rationale: Antibiotics can reduce the effectiveness of oral contraceptives, necessitating an alternate method.

Question 3 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 4 of 5

A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?

Correct Answer: C

Rationale: Newborns have a respiratory rate of 30-60 breaths/min and heart rate of 120-160 beats/min. Option C (RR 46, HR 153) is within normal ranges.

Question 5 of 5

A client is scheduled for a colposcopy. The nurse assists the client into which position?

Correct Answer: D

Rationale: Colposcopy requires the lithotomy position to provide access to the cervix for examination.

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