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Questions 164

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Question 1 of 5

The graduate nurse (GN) is caring for a client with a fractured femur in balanced suspension skeletal traction. Which action by the GN will require the precepting nurse to intervene?

Correct Answer: B

Rationale: Lifting traction weights (
B) disrupts alignment and healing, requiring intervention. Hydration and fiber (
A), monitoring sites (
C), and pulse checks (
D) are appropriate.

Question 2 of 5

The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent

Correct Answer: B

Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).

Question 3 of 5

The nurse is talking with the parent of a 5-year-old client who is receiving morphine for pain. Which of the following statements by the parent would be a priority to follow up?

Correct Answer: D

Rationale: Assuming a playing child has no pain (
D) is incorrect, as children may play despite pain. This requires follow-up to ensure adequate pain management. Aggression (
A) and feeling punished (
B) are valid concerns but less urgent. Using the FACES scale (
C) is appropriate.

Question 4 of 5

The nurse is caring for a client with schizophrenia. The client appears anxious and states, 'The voices are bad today; they sound so angry with me.' Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: D

Rationale: Acknowledging the client's fear and offering medication (
D) is therapeutic and addresses anxiety. Dismissing voices (A,
B) or probing content (
C) may increase distress or reinforce delusions.

Question 5 of 5

A nurse is providing a parenting class to individuals living in a community of older homes. In discussing formula preparation, which of the following is most important to prevent lead poisoning?

Correct Answer: C

Rationale: Use of lead-contaminated water to prepare formula is a major source of poisoning in infants. Letting tap water run for several minutes will diminish the lead contamination.

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