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Questions 148

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Question 1 of 5

The nurse is caring for a client who just had a supratentorial craniotomy to remove a tumor. The nurse will implement which of the following in the client's plan of care? Select all that apply.

Correct Answer: B, D, E

Rationale: Monitoring pupils, respiratory status, and excessive drainage are critical to detect complications like increased intracranial pressure. Positioning flat is incorrect; the head should be elevated.

Question 2 of 5

Which of the following tasks are appropriate for the nurse to delegate to unlicensed assistive personnel? Select all that apply.

Correct Answer: B,C,E

Rationale: Unlicensed assistive personnel can perform routine tasks like checking routine vital signs (
B), measuring urinary output (
C), and assisting with ambulation (E). Checking vital signs in an acutely ill client (
A) and monitoring a transfusion (
D) require a nurse's assessment skills.

Question 3 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 4 of 5

Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered brain death), within what time period should the heart and lungs be transplanted?

Correct Answer: A

Rationale: Heart and lungs have a short ischemic tolerance, requiring transplantation within 4-6 hours (
A) to ensure viability. Longer periods (B, C,
D) risk organ failure.

Question 5 of 5

If a group includes only members selected on a specific basis, such as women with a history of domestic or partner abuse, how is this type of group classified?

Correct Answer: A

Rationale: A group with members sharing a specific characteristic, like domestic abuse history, is homogeneous (
A). Closed (
B) refers to membership limits, heterogeneous (
C) to diversity, and task (
D) to purpose.

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