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Questions 148

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Question 1 of 5

The nurse is caring for a 28-year-old female with a long history of heroin addiction. The client tells the nurse that she started off using a small amount recreationally, but as time went on, she needed more and more heroin to feel a high. The nurse recognizes this as

Correct Answer: C

Rationale:
Tolerance is the need for increasing doses to achieve the same effect, as described in the client’s heroin use.

Question 2 of 5

The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

Correct Answer: D

Rationale: A ruptured ectopic pregnancy typically causes sudden, severe lower quadrant pain due to internal bleeding.

Question 3 of 5

A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to

Correct Answer: C

Rationale: Immediate irrigation with saline removes the chemical, preventing further eye damage. Other actions follow after irrigation.

Question 4 of 5

The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside?

Correct Answer: B

Rationale: A torque wrench is needed to adjust and maintain the tension of crutchfield tongs for cervical stabilization.

Question 5 of 5

The nurse should carefully monitor the client for which common dysrhythmia that can occur during suctioning?

Correct Answer: A

Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation, especially in clients with tracheostomies or endotracheal tubes.

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