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Question 1 of 5

The nurse is assessing a client who had a colon resection 2 days ago. The client states, 'I feel like my stitches have burst loose.' Upon further assessment, dehiscence of the wound is noted. The nurse should:

Correct Answer: B

Rationale: Dehiscence requires covering the wound with a sterile, saline-moistened dressing to prevent infection and protect exposed tissues. The other actions are inappropriate or harmful.

Question 2 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.

Question 3 of 5

A client taking furosemide (Lasix) comes into the clinic for routine bloodwork. Which of the following findings indicates an adverse effect of Lasix?

Correct Answer: C

Rationale: Furosemide can increase uric acid levels (normal 3.5-7.2 mg/dL), leading to hyperuricemia, a known adverse effect. Other values are within normal ranges.

Question 4 of 5

The nurse is caring for an unvaccinated child who developed complications related to German measles (rubella). Which of the following infection control protocols is appropriate?

Correct Answer: C

Rationale: Rubella is transmitted via respiratory droplets, requiring standard and droplet precautions (
C). Contact (
B) and airborne (
D) precautions are not indicated for rubella.

Question 5 of 5

The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?

Correct Answer: D

Rationale: The prone position with a pillow under the shoulders and abdomen provides optimal access to the kidney for a renal biopsy.

Similar Questions

A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:
The nurse is monitoring a client following postoperative cardiac catheterization and is checking the client's oxygen saturation (SPO2) per pulse oximetry. The nurse recognizes that the SPO2 should be maintained above what percentage in most clients to ensure adequate oxygenation? Record your answer using a whole number.
The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?
The nurse is caring for a COPD client who is discharged on p.o. Theophylline. Which of the following statements by the client would indicate a correct understanding of discharge instructions?
The nurse is caring for a client in the intensive care unit. The nurse recognizes that to prevent sensory alteration in a client, the nurse needs to do which of the following interventions? Select all that apply.

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