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Questions 164

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Question 1 of 5

The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by

Correct Answer: C

Rationale: Administer supplemental 100% oxygen through the mechanical ventilator or manual resuscitation bag for 1 to 2 minutes before, after and between suctioning passes to prevent hypoxemia.

Question 2 of 5

The nurse is caring for a 2-year-old client who has iron deficiency anemia. The nurse should recognize that this condition is most likely the result of

Correct Answer: C

Rationale: Excessive cow's milk intake in toddlers can lead to iron deficiency anemia due to low iron content and potential for gastrointestinal irritation.

Question 3 of 5

The practical nurse is caring for a 48-year-old executive on the cardiac unit who has just been diagnosed with primary hypertension. Which teaching strategy would be most effective to reinforce prior teaching from the registered nurse?

Correct Answer: C

Rationale: Active participation in meal selection reinforces learning and promotes adherence to a low-sodium diet.

Question 4 of 5

The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: A

Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.

Question 5 of 5

An adult is admitted with Addison's disease. What type of drug does the nurse expect will be ordered for this client?

Correct Answer: B

Rationale: Fludrocortisone replaces aldosterone in Addison's disease, managing sodium and fluid balance. Fosinopril, furosemide, and fludarabine do not address adrenal insufficiency.

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