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Questions 149

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Question 1 of 5

The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?

Correct Answer: B

Rationale: Sternal bruises suggest potential chest trauma, requiring priority.

Question 2 of 5

A client with rheumatoid arthritis has Sjogren's syndrome. The nurse can help relieve the symptoms of Sjogren's syndrome by:

Correct Answer: B

Rationale: Sjogren's syndrome causes dry eyes, and artificial tears (eyedrops) help relieve this symptom.

Question 3 of 5

A client hospitalized with cirrhosis has developed abdominal ascites. The nurse should provide the client with snacks that provide additional:

Correct Answer: C

Rationale: Protein-rich snacks help maintain nutritional status and support liver function in cirrhosis, while sodium should be limited to reduce ascites.

Question 4 of 5

A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?

Correct Answer: C

Rationale: IV naloxone (Narcan) should be given to reverse respiratory depression; respiratory rate of 8 is too low and necessitates a nursing action

Question 5 of 5

The nurse is assessing a client with suspected Cushing’s syndrome. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: moon face and truncal obesity are classic signs of Cushing’s syndrome due to excess cortisol

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