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Questions 149

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Extract:


Question 1 of 5

The client is having a cardiac catheterization. During the procedure, the client tells the nurse, 'I'm feeling really hot.' Which response would be best?

Correct Answer: B

Rationale: A warm sensation is a normal response to the injection of contrast dye during cardiac catheterization.

Question 2 of 5

The nurse is caring for a client who is postoperative day 1 following a craniotomy. Which of the following positions should the nurse place the client in?

Correct Answer: B

Rationale: semi-Fowler’s position with the head elevated 30° reduces intracranial pressure and promotes venous drainage

Question 3 of 5

The nurse is obtaining a history on an 80-year-old client. Which statement made by the client might indicate a potential for fluid and electrolyte imbalance?

Correct Answer: B

Rationale: Frequent laxative use can lead to dehydration and electrolyte imbalances due to excessive fluid and electrolyte loss through diarrhea.

Question 4 of 5

A client who experienced a cardiac arrest and resuscitation is exhibiting characteristics of mild anoxic brain injury. Which of the following characteristics does the nurse expect her to exhibit? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Mild anoxic brain injury may cause decreased concentration (
A), memory impairment (
C), decreased balance (E), and restlessness (F). Seizures (
B) and semicomatose state (
D) are more typical of severe injury.

Question 5 of 5

The nurse in the emergency department is responsible for the triage of four recently admitted clients. Which client should the nurse send directly to the treatment room?

Correct Answer: C

Rationale: Exertional shortness of breath may indicate a cardiac or respiratory emergency, requiring immediate attention.

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