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Questions 158

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Extract:


Question 1 of 5

The nurse is assessing elderly clients at a community center.

Correct Answer: D

Rationale: Rales bilaterally indicate possible pulmonary edema or infection, which are serious conditions requiring immediate attention. Dry mouth (
A), height loss (
B), and stiffened joints (
C) are common in aging but less urgent.

Question 2 of 5

A client with pregnancy-induced hypertension is scheduled for a C-section. Before surgery, the nurse should keep the client:

Correct Answer: C

Rationale: The left lateral position improves uteroplacental blood flow in pregnancy-induced hypertension, reducing fetal distress risk. Right-sided, supine, or knee-chest positions are less optimal.

Question 3 of 5

A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:

Correct Answer: C

Rationale: Pulmozyme, used to thin mucus in cystic fibrosis, can cause sore throat as a side effect due to inhalation irritation. Weight gain, hair loss, and brittle nails are not associated.

Question 4 of 5

Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

Correct Answer: C

Rationale: Sulfasalazine commonly causes skin rash and diarrhea, which should be monitored. The other options are not relevant nursing implications.

Question 5 of 5

The charge nurse is making assignments for the day. After accepting the assignment to care for a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which initial action should the charge nurse take?

Correct Answer: D

Rationale: The charge nurse should first ask if the nurse has had chickenpox or been vaccinated, as immunity prevents transmission to the immunocompromised leukemia client. If non-immune, the assignment should be changed. Asking about crusting or explaining no risk is incorrect, as varicella is contagious until lesions crust.

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