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Question 1 of 5

The mother of a 9-year-old with asthma has brought an electric CD player for her son to listen to while he is receiving oxygen therapy. The nurse should:

Correct Answer: B

Rationale: Allowing the CD player with earphones provides comfort without disturbing others or interfering with oxygen therapy.

Question 2 of 5

During which stage of injury repair does the wound show evidence of erythema and edema, and phagocytosis begins?

Correct Answer: B

Rationale: The inflammation stage (
B) involves erythema, edema, and phagocytosis as the body responds to injury. Other stages (A, C,
D) have different processes.

Question 3 of 5

The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse should assess the patient for:

Correct Answer: A

Rationale: Iodinated contrast used in cholangiograms can cause reactions in patients with shellfish or iodine allergies due to potential cross-reactivity.

Question 4 of 5

A client with alcoholism has been instructed to increase his intake of thiamine. The nurse knows the client understands the instructions when he selects which food?

Correct Answer: D

Rationale: Sliced pork is a rich source of thiamine (vitamin B1), which is critical for preventing Wernicke's encephalopathy in clients with alcoholism.

Question 5 of 5

A client is admitted with disseminated herpes zoster. According to the Centers for Disease Control Guidelines for Infection Control:

Correct Answer: A

Rationale: Disseminated herpes zoster requires airborne precautions due to the risk of varicella-zoster virus transmission through respiratory droplets and contact.

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The nurse is inserting an intravenous line into the right arm and has identified a potential insertion site. Place the steps (indicated in Roman numerals) of venipuncture in the proper sequential order.
A client has a tentative diagnosis of myasthenia gravis. The nurse recognizes that myasthenia gravis involves:

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