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Questions 149

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Extract:


Question 1 of 5

The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

Correct Answer: A

Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.

Question 2 of 5

The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:

Correct Answer: C

Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.

Question 3 of 5

Which of the following descriptions is typical of a Parkinsonian gait?

Correct Answer: C

Rationale: Parkinsonian gait is characterized by decreased speed, poor balance, flexed posture, and shuffling steps (
C). Other descriptions (A, B,
D) do not fully capture this gait.

Question 4 of 5

The nurse has a client complaining of chest pain. Where should the nurse place the V5 lead for a 12-lead EKG?

Correct Answer: A

Rationale: The V5 lead is placed in the left anterior axillary line at the fifth intercostal space for a 12-lead EKG.

Question 5 of 5

A client newly diagnosed with type 1 diabetes mellitus asks the nurse why it is important to rotate insulin injection sites. The nurse explains this is done to avoid

Correct Answer: D

Rationale: Rotating insulin injection sites prevents lipodystrophy (fat tissue changes), ensuring consistent absorption.

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