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Questions 149

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Question 1 of 5

The nurse enters the client's room and smells cigarette smoke. When confronted, the client says, 'I only smoked one cigarette because I was having a bad craving.' Which action by the nurse is most appropriate?

Correct Answer: C

Rationale: Reminding the client of the danger of smoking near oxygen and hospital policy addresses safety and compliance immediately.

Question 2 of 5

The nurse is caring for a client who is postoperative day 1 following a laparoscopic appendectomy. The client reports shoulder pain. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: shoulder pain after laparoscopic surgery is often due to referred pain from residual carbon dioxide used during the procedure

Question 3 of 5

The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

Correct Answer: C

Rationale: The client with RSV poses the least risk to a pregnant nurse, as it is a common respiratory virus, whereas HIV, radium implants, and cytomegalovirus carry higher risks during pregnancy.

Question 4 of 5

The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:

Correct Answer: A

Rationale: Nephritis is the major complication of SLE due to immune complex deposition in the kidneys, leading to lupus nephritis, which can cause renal failure if untreated.

Question 5 of 5

A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:

Correct Answer: D

Rationale: A pulsatile mass in the periumbilical area is a classic symptom of an abdominal aortic aneurysm due to the expanding aorta.

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