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Questions 149

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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

Which obstetrical client is most likely to have an infant with respiratory distress syndrome?

Correct Answer: B

Rationale: Maternal diabetes increases the risk of respiratory distress syndrome in infants due to impaired surfactant production from fetal hyperglycemia.

Question 3 of 5

The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:

Correct Answer: A

Rationale: Setting realistic limits helps manage the manipulative and impulsive behaviors common in antisocial personality disorder, promoting safety and structure.

Question 4 of 5

A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan?

Correct Answer: C

Rationale: Hepatitis C increases bleeding risk, so coagulation studies are done before a liver biopsy to ensure safety. The client lies on the right side post-procedure, enemas aren't needed, and the procedure is invasive with some pain.

Question 5 of 5

When administering a tuberculin skin test, the nurse should insert the needle at a:

Correct Answer: A

Rationale: A 15° angle is used for intradermal injections like the tuberculin skin test to ensure proper placement in the dermis.

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