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Questions 149

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Question 1 of 5

The nurse is assessing for abdominal pulsations in a client with a visible mass below the umbilicus. The nurse should use which technique?

Correct Answer: B

Rationale: Inspection is used to visually assess for abdominal pulsations or masses. Palpation or percussion may be used later but are not the initial technique for observing pulsations.

Question 2 of 5

A client is admitted with suspected Legionnaires' disease. Which factor increases the risk of developing Legionnaires' disease?

Correct Answer: A

Rationale: Steroid use increases the risk of Legionnaires' disease by suppressing the immune system, making individuals more susceptible to Legionella infection.

Question 3 of 5

The nurse is preparing to transfer a client from the ED to the orthopedic unit. She knows that adhering to the hospital policy for client handoffs best ensures which of the following?

Correct Answer: C

Rationale: Proper handoffs ensure continuity of care by transferring critical information accurately between care teams.

Question 4 of 5

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

Correct Answer: B

Rationale: oral hypoglycemic agents are administered to type II (non-insulindependent) clients who are able to produce minimal amounts of insulin

Question 5 of 5

The nurse is preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge home. Which of the following statements by the client indicates a need for further teaching by the nurse?

Correct Answer: D

Rationale: AIDS patients cannot donate blood due to HIV transmission risk. Public activities and restrooms pose minimal risk, and sharing serving dishes is safe if not directly contaminated.

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