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Questions 149

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Question 1 of 5

The nurse has just administered morphine 4 mg IV to a client with severe pain from a kidney stone. The client then asks to get up to the toilet. Which is the correct nursing action for this client?

Correct Answer: B

Rationale: Morphine can cause sedation and dizziness, increasing fall risk. Offering a bedpan or urinal is safer than ambulating to the toilet.

Question 2 of 5

A home health nurse finds the client lying unconscious in the doorway of her bathroom. The nurse checks for responsiveness by gently shaking the client and calling her name. When it is determined that the client is nonresponsive, the nurse should:

Correct Answer: C

Rationale: Opening the airway is the first step in managing an unresponsive client to ensure adequate ventilation.

Question 3 of 5

Based on clinical findings, the physician suspects that a 65-year-old client has kidney disease and has ordered a blood-urea-nitrogen (BUN) test. Which of the following results is within normal limits?

Correct Answer: B

Rationale: Normal BUN is 7-20 mg/dL, so 15 mg/dL (
B) is within range. Other values (A, C,
D) are too low or high.

Question 4 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: dry mucous membranes and tented skin are signs of dehydration due to fluid loss

Question 5 of 5

A patient is admitted to the surgical unit with a diagnosis of rule out intestinal obstruction. The nurse is preparing to insert a Salem sump NG tube as ordered. In which of the following positions would it be BEST for the nurse to place this patient during the procedure?

Correct Answer: B

Rationale: facilitates swallowing and movement of tube through GI tract

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