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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client who is postoperative day 2 following a total knee replacement. The client reports pain at the surgical site and has a temperature of 100.8°F (38.2°C). Which of the following actions should the nurse take FIRST?

Correct Answer: D

Rationale: assessing the surgical site for signs of infection is the first step to determine the cause of the fever and pain

Question 2 of 5

The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would include:

Correct Answer: D

Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, so avoidance is critical.

Question 3 of 5

Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell's traction?

Correct Answer: B

Rationale: A 12-year-old male with a similar condition provides age-appropriate companionship and shared care needs.

Question 4 of 5

The client's intravenous (IV) line has a gauze pad wrapped around the IV catheter at the insertion site and a transparent dressing over the gauze dressing. How long after application should the nurse change the dressing?

Correct Answer: B

Rationale: Transparent dressings should be changed when they loosen (
B) or per facility policy (typically every 5-7 days unless soiled or loose). Fixed intervals (C,
D) or IV rotation (
A) do not apply directly.

Question 5 of 5

A client is admitted with suspected pernicious anemia. Which findings support the diagnosis of pernicious anemia?

Correct Answer: C

Rationale: Loss of coordination and position sense are neurological symptoms due to vitamin B12 deficiency in pernicious anemia.

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