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Questions 149

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Extract:


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

Which one of the following clients is most likely to develop acute respiratory distress syndrome?

Correct Answer: D

Rationale: Barbiturate overdose can lead to ARDS due to prolonged hypoventilation, causing lung injury from hypoxia and aspiration risk.

Question 3 of 5

A client with chronic kidney disease has just been admitted to the floor. The admitting nurse reviews a list of OTC medications the client takes at home and is concerned when he sees

Correct Answer: A

Rationale: Mylanta contains magnesium and aluminum, which can accumulate in kidney disease, causing toxicity. Other medications are less concerning in this context.

Question 4 of 5

Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

Correct Answer: B

Rationale: Pregnant nurses should avoid caring for clients with radium implants due to the risk of radiation exposure to the fetus.

Question 5 of 5

The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:

Correct Answer: D

Rationale: Brown-Sequard syndrome causes loss of sensation contralateral to the injury and motor loss ipsilateral to the injury.

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