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Question 1 of 5

The nurse is caring for a client following the removal of a central line catheter when the client suddenly develops dyspnea and complains of substernal chest pain. The client is noticeably confused and fearful. Based on the client's symptoms, the nurse should suspect which complication of central line use?

Correct Answer: B

Rationale: Sudden dyspnea, chest pain, and confusion post-central line removal suggest an air embolus, a serious complication requiring immediate intervention.

Question 2 of 5

The nurse caring for the child with a large meningomylocele is aware that the priority care for this client is to:

Correct Answer: A

Rationale: Moist, sterile gauze prevents infection and drying of the meningomyelocele defect.

Question 3 of 5

The client who is admitted with thrombophlebitis has an order for heparin. The medication should be administered using a/an:

Correct Answer: B

Rationale: An infusion controller ensures precise heparin delivery, critical for maintaining therapeutic levels and preventing complications.

Question 4 of 5

The 84-year-old male has returned from the recovery room following a total hip repair. He complains of pain and is medicated with morphine sulfate and promethazine. Which medication should be kept available for the client being treated with opioid analgesics?

Correct Answer: A

Rationale: Naloxone reverses opioid overdose, critical for managing respiratory depression from morphine.

Question 5 of 5

An elderly preoperative client seems very anxious but denies concerns when the nurse asks; however, the client's son confides that the client is very superstitious and believes it is bad luck that he is in room 113. Which of the following actions is the best response?

Correct Answer: B

Rationale: Reassigning the client to a different room (
B) addresses the client's anxiety by respecting his superstitious beliefs, promoting comfort. Reassurance (
A), medication (
C), or family presence (
D) may not fully alleviate the specific concern.

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