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Questions 148

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Question 1 of 5

The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

Correct Answer: C

Rationale: An O2 saturation of 68% indicates severe hypoxemia, requiring immediate oxygen administration.

Question 2 of 5

The physician has ordered atropine sulfate 0.4 mg IM before surgery. The medication is supplied in 0.8 mg per milliliter. The nurse should administer how many milliliters of the medication?

Correct Answer: B

Rationale:
To calculate: 0.4 mg ÷ 0.8 mg/mL = 0.5 mL, the correct dose to administer.

Question 3 of 5

A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to

Correct Answer: C

Rationale: Immediate irrigation with saline removes the chemical, preventing further eye damage. Other actions follow after irrigation.

Question 4 of 5

The nurse is caring for a client who fractured her leg in a motor vehicle accident. A cast is applied. The nurse will assess which of the following? Select all that apply.

Correct Answer: A, B, C, E

Rationale: Assessing pulses, capillary refill, skin temperature, and neurovascular symptoms (pain, numbness, tingling, movement) ensures circulation and nerve function are intact; squeezing the cast is inappropriate.

Question 5 of 5

A client with chest pain is scheduled for a heart catheterization. Which of the following would the nurse include in the client's care plan?

Correct Answer: D

Rationale: During heart catheterization, the client may be asked to cough or breathe deeply to facilitate dye movement or assess respiratory response, a key part of preparation.

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