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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a 6-year-old client admitted with the diagnosis of conjunctivitis. Before administering eyedrops, the nurse should recognize that it is essential to consider which of the following?

Correct Answer: A

Rationale: Cleansing the eye removes exudate, ensuring effective administration of eyedrops for conjunctivitis.

Question 2 of 5

The nurse is caring for a client who is postoperative day 1 following a craniotomy. Which of the following positions should the nurse place the client in?

Correct Answer: B

Rationale: semi-Fowler’s position with the head elevated 30° reduces intracranial pressure and promotes venous drainage

Question 3 of 5

A 32-year-old male client has just undergone a liver biopsy and is released to the post-op floor for observation. The nurse should have the client lie in what position?

Correct Answer: B

Rationale: Lying on the right side applies pressure to the liver biopsy site, reducing bleeding risk.

Question 4 of 5

A client who experienced a cardiac arrest and resuscitation is exhibiting characteristics of mild anoxic brain injury. Which of the following characteristics does the nurse expect her to exhibit? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Mild anoxic brain injury may cause decreased concentration (
A), memory impairment (
C), decreased balance (E), and restlessness (F). Seizures (
B) and semicomatose state (
D) are more typical of severe injury.

Question 5 of 5

A client is provided instructions for a low-sodium diet. Which statement by the client indicates an understanding of the diet?

Correct Answer: C

Rationale: Potato chips and cheese are high-sodium foods, and avoiding them shows understanding of a low-sodium diet.
Tomatoes and celery are low-sodium, and take-out is often high-sodium.

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