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Questions 164

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Extract:


Question 1 of 5

The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action?

Correct Answer: D

Rationale: This type of identification band easily tracks the client's movements and ensures safety while the client wanders on the unit. Restriction of activity is inappropriate for any client unless they are potentially harmful to themselves or others.

Question 2 of 5

The physician has ordered dressings with sulfamylon cream for a client with full thickness burns of his hands and arms. Before dressing changes, the nurse should give priority to:

Correct Answer: A

Rationale: Sulfamylon dressing changes are painful, so administering pain medication is the priority. Urinary output , blood count , and glucose are important but secondary.

Question 3 of 5

The nurse answers a call light on a client not assigned to the nurse. The client, who was just admitted from the emergency department, requests a cup of coffee. What is the appropriate intervention?

Correct Answer: D

Rationale: Suggesting water (
D) is safe until dietary orders are confirmed. Coffee (A,
C) may be contraindicated, and waiting (
B) doesn't address the request.

Question 4 of 5

The nurse is caring for a newly admitted man who has kidney stones. The man asks if he can get up and take a walk. How should the nurse respond?

Correct Answer: C

Rationale: Walking may facilitate kidney stone passage and is generally safe unless contraindicated, with assistance ensuring safety.

Question 5 of 5

A nurse prepares to care for a 4 year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body?

Correct Answer: A

Rationale: the muscles. Rhabdomyosarcoma is the most common children's soft tissue sarcoma. It originates in striated (skeletal) muscles and can be found anywhere in the body. The clue is in the middle of the word -- 'myo' --which typically means muscle.

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