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Questions 148

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Question 1 of 5

The nurse is caring for a 42-year-old client who has a do not resuscitate (DNR) order on the chart. The client tells the nurse, 'I've changed my mind about the DNR. I would like to cancel that and be given whatever care is needed to keep me alive.' Which response by the nurse is correct?

Correct Answer: A

Rationale: A DNR can be revoked by the client at any time. Notifying the provider ensures the change is documented and followed.

Question 2 of 5

If the nurse is unable to elicit the deep tendon reflexes of the patella, the nurse should ask the client to:

Correct Answer: A

Rationale: Pulling against the palms enhances reflex response by increasing muscle tone, aiding in eliciting the patellar reflex.

Question 3 of 5

A client diagnosed with lung cancer asks the nurse what the term MO refers to. The nurse says that MO means

Correct Answer: A

Rationale: In cancer staging, M0 indicates no distant metastasis, per TNM classification.

Question 4 of 5

A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses' next action be?

Correct Answer: B

Rationale: Tingling around the mouth and extremities suggests hypocalcemia, a common complication post-thyroidectomy due to parathyroid gland disturbance, so checking the calcium level is the next action.

Question 5 of 5

A nurse on the orthopedics floor is asked by another nurse to witness her waste 1 mg of morphine. The nurse draws the full 2 mg dose of morphine into the syringe and tells the first nurse, 'This client does not get enough pain relief with 1 mg of morphine, so I just go ahead and give 2 mg to keep him comfortable because the doctor won't change the dose.' Which is the correct action by the first nurse?

Correct Answer: B

Rationale: Administering an unordered dose is a medication error and potential diversion. Refusing to sign and reporting ensures patient safety and accountability.

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