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Questions 148

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Question 1 of 5

The nurse is assigned to care for the client with a Steinmen pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

Correct Answer: A

Rationale: Sterile technique is appropriate for pin care; assisting maintains the sterile field.

Question 2 of 5

The nurse is developing a care plan for a client with hepatitis A. The nurse knows that the primary routes of transmission of this hepatitis virus are which of the following? Select all that apply.

Correct Answer: C,D

Rationale: Hepatitis A is transmitted primarily via the fecal-oral route, through contaminated food or water (
D) and feces (
C).

Question 3 of 5

Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?

Correct Answer: C

Rationale: Clubbing of fingers is a sign of chronic hypoxia, indicative of long-standing COPD, unlike wheezing or cough, which can occur in acute or chronic stages.

Question 4 of 5

The nurse is caring for a client with an above-the-knee amputation (AKA). To prevent contractures, the nurse should:

Correct Answer: A

Rationale: Prone positioning helps stretch hip flexors, preventing contractures after AKA by maintaining proper alignment.

Question 5 of 5

A child suspected of having cystic fibrosis is scheduled for a quantitative sweat test. The nurse knows that the quantitative sweat test will be analyzed using:

Correct Answer: A

Rationale: Pilocarpine iontophoresis is used to stimulate sweat production for chloride analysis in cystic fibrosis diagnosis.

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