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Questions 148

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Question 1 of 5

The nurse is caring for a client receiving hemodialysis. During hemodialysis, the client becomes anxious, experiencing tachypnea and hypotension. The nurse suspects which complication of hemodialysis?

Correct Answer: D

Rationale: Disequilibrium syndrome can occur during hemodialysis due to rapid shifts in fluids and electrolytes, causing symptoms like anxiety, tachypnea, and hypotension.

Question 2 of 5

A client is receiving enteral feedings through a nasogastric tube, and the nurse is administering the client's medications. Which of the following can be administered through the NG tube? Select all that apply.

Correct Answer: B,D

Rationale: Pills (crushed, dissolved) (
B) and liquid suspension (
D) are safe for NG administration. Extended-release (
A) and enteric-coated (
C) medications should not be crushed; soft-gel (E) and sublingual (F) are not suitable.

Question 3 of 5

According to the American Heart Association (2005) guidelines the compression-to-ventilation ratio for one rescuer cardiopulmonary resuscitation is:

Correct Answer: C

Rationale: The 2005 AHA guidelines specify a 30:2 compression-to-ventilation ratio for one-rescuer CPR in adults.

Question 4 of 5

The nurse is assigned to care for the client with a Steinmen pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

Correct Answer: A

Rationale: Sterile technique is appropriate for pin care; assisting maintains the sterile field.

Question 5 of 5

A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?

Correct Answer: D

Rationale: Tucking a diaper beneath the cast at the perineal opening helps keep the cast clean and prevents skin irritation.

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