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Questions 148

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Question 1 of 5

The client with a recent liver transplant asks the nurse how long he will have to take an immunosuppressant. Which response would be correct?

Correct Answer: D

Rationale: Lifelong immunosuppression is required post-transplant to prevent organ rejection.

Question 2 of 5

A client is admitted for an CAT scan. The nurse should question the client regarding:

Correct Answer: A

Rationale: Pregnancy is a contraindication for a CAT scan due to radiation risks to the fetus.

Question 3 of 5

The nurse is assessing a client upon arrival to the emergency department. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?

Correct Answer: C

Rationale: Cyanotic ear lobes indicate severe hypoxemia, a late sign of airway obstruction. Restlessness and stridor are earlier, and rales are unrelated.

Question 4 of 5

A child with a history of seizures begins to seize suddenly in his hospital room. The nurse would do all of the following interventions EXCEPT

Correct Answer: D

Rationale: Restraining during a seizure risks injury. Loosening clothing, removing pillows, rolling to the side, and administering lorazepam (if ordered) are appropriate to ensure safety and stop the seizure.

Question 5 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

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