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Questions 149

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Extract:


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

Which one of the following situations represents a maturational crisis for the family?

Correct Answer: A

Rationale: A 4-year-old entering nursery school is a maturational crisis, as it involves a normal developmental transition that can stress family dynamics.

Question 3 of 5

A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:

Correct Answer: D

Rationale: Rising blood pressure is a sign of renal transplant rejection due to impaired kidney function and fluid retention.

Question 4 of 5

The doctor has ordered a patient-controlled analgesia (PCA) pump for the client with chronic pain. The client asks the nurse if he can become overdosed with pain medication using this machine. The nurse demonstrates understanding of the PCA if she states:

Correct Answer: B

Rationale: The PCA pump has a lockout mechanism to prevent overdosing, ensuring safe, patient-controlled dosing.

Question 5 of 5

Which of the following antibiotics is contraindicated in children younger than 8 years?

Correct Answer: A

Rationale: Tetracycline (
A) is contraindicated in children under 8 due to tooth discoloration and bone growth inhibition. Other antibiotics (B, C,
D) are safe.

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