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Questions 149

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Question 1 of 5

The nurse is assisting a client to adjust crutches to the proper measurement. With the client in standing position, where should the tips of the crutches be placed?

Correct Answer: B

Rationale: Crutch tips should be 4-6 inches to the side and 4-6 inches in front of the feet (
B) for stability and balance.

Question 2 of 5

A client is being treated with internal radiation (brachytherapy). The nurse explains to the client that

Correct Answer: C

Rationale: Brachytherapy requires distance precautions; visitors must stay 6 feet away to minimize radiation exposure. Gowns/masks are not needed, visitors are allowed, and gifts do not become radioactive.

Question 3 of 5

The nurse in the emergency department is responsible for the triage of four recently admitted clients. Which client should the nurse send directly to the treatment room?

Correct Answer: C

Rationale: Exertional shortness of breath may indicate a cardiac or respiratory emergency, requiring immediate attention.

Question 4 of 5

The nurse is assessing a newborn 24 hours after birth. Which of the following findings would require further evaluation?

Correct Answer: C

Rationale: milia are normal, but persistent or widespread milia may indicate other issues; other findings are within normal limits for a newborn

Question 5 of 5

A client who has been taking Coumadin (warfarin) was stabbed in the upper arm. His prothrombin time is over twice the normal amount. The nurse anticipates an order for

Correct Answer: A

Rationale: Elevated prothrombin time indicates excessive anticoagulation. Fresh frozen plasma provides clotting factors to reverse warfarin’s effect and control bleeding.

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