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Questions 148

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Extract:


Question 1 of 5

The nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The nurse notes that the urine output is bright red with clots. Which of the following actions should the nurse take FIRST?

Correct Answer: B

Rationale: bright red urine with clots indicates potential bleeding, requiring immediate physician notification

Question 2 of 5

The nurse caring for a client with a suspected peptic ulcer recognizes which exam as the one most reliable in diagnosing the disease?

Correct Answer: C

Rationale: Endoscopy directly visualizes the gastric mucosa, allowing for biopsy and definitive diagnosis of a peptic ulcer, making it the most reliable method.

Question 3 of 5

Upon admission to the hospital, a client reports having 'the worst headache I've ever had.' The nurse should give the highest priority to:

Correct Answer: C

Rationale: A sudden, severe headache may indicate a serious condition like subarachnoid hemorrhage. Neuro checks are the priority to assess for neurological changes.

Question 4 of 5

A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

Correct Answer: B

Rationale: Pancreatic enzymes are taken with meals to aid digestion, as cystic fibrosis impairs pancreatic enzyme production.

Question 5 of 5

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

Correct Answer: A

Rationale: Applying the new tie before removing the old one ensures the tracheotomy tube remains secure, preventing accidental dislodgement.

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