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Questions 149

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Extract:


Question 1 of 5

The charge nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be charged with:

Correct Answer: C

Rationale: Hitting a client is assault, a criminal act of physical harm.

Question 2 of 5

The physician has ordered a homocysteine blood level on a client. The nurse recognizes that the results will be increased in a client with a deficiency in:

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for homocysteine metabolism, unlike other vitamins listed.

Question 3 of 5

A child is admitted to the emergency room following ingestion of a bottle of Children's Tylenol. The nurse is aware that Tylenol poisoning is treated with:

Correct Answer: A

Rationale: Acetylcysteine is the antidote for acetaminophen (Tylenol) overdose, protecting the liver from toxicity.

Question 4 of 5

An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?

Correct Answer: A

Rationale: Crystals in IV fluorouracil indicate precipitation; the solution should be discarded to prevent administration errors.

Question 5 of 5

A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:

Correct Answer: B

Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.

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