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Question 1 of 5

The charge nurse considers both patient-related and staff-related factors when making daily assignments. All of the following are patient-related factors EXCEPT

Correct Answer: D

Rationale: Nurse-to-client ratio is a staff-related factor, affecting workload distribution. Ventilation, medications, and isolation are patient-specific needs.

Question 2 of 5

A client with liver failure and ascites is having a paracentesis to relieve severe dyspnea resulting from abdominal fluid accumulation. Prior to the procedure, the nurse assists the client to urinate. Which of the following is the most important reason to have the patient urinate?

Correct Answer: C

Rationale: Urinating before paracentesis prevents bladder puncture (
C) by emptying the bladder, reducing risk during needle insertion.

Question 3 of 5

A client is admitted with a tumor in the parietal lobe. Which symptoms would be expected due to this tumor's location?

Correct Answer: C

Rationale: The parietal lobe processes sensory information. A tumor here may cause paresthesia (abnormal sensations like tingling) due to disruption of sensory pathways.

Question 4 of 5

The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

Correct Answer: B

Rationale: Diazoxide can cause hyperglycemia, so monitoring blood glucose levels is essential during administration.

Question 5 of 5

The client taking Glyburide (Diabeta) should be cautioned to:

Correct Answer: D

Rationale: Daily glucose monitoring is essential for clients on Glyburide to manage blood sugar levels effectively.

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