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Questions 149

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Question 1 of 5

The nurse is caring for a client with a diagnosis of major depressive disorder. Which of the following client statements would indicate that the client is responding positively to the prescribed antidepressant therapy?

Correct Answer: A

Rationale: improved energy level is a positive sign of response to antidepressant therapy

Question 2 of 5

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

Correct Answer: B

Rationale: Adding baby oil to bath water helps moisturize the skin and alleviate pruritis caused by hepatitis, as it soothes dry, itchy skin without causing irritation.

Question 3 of 5

Vitamin K is administered to the newborn shortly after birth for which of the following reasons?

Correct Answer: D

Rationale: Vitamin K is given to newborns to facilitate clotting, preventing hemorrhagic disease due to low vitamin K levels.

Question 4 of 5

The nurse is caring for a client with a small-bowel obstruction. A Salem sump nasogastric tube (NGT) is in place. Which finding by the nurse requires corrective action? Select all that apply.

Correct Answer: A, C

Rationale: A sudden decrease in output may indicate blockage or displacement, requiring assessment. Medium intermittent suction is inappropriate for a Salem sump, which requires low continuous suction. Other actions are correct.

Question 5 of 5

A client with emphysema has been receiving oxygen at 3 L per minute by nasal cannula. The nurse knows that the goal of the client's oxygen therapy is achieved when the client's PaO2 reading is:

Correct Answer: B

Rationale: For clients with emphysema, a PaO2 of 70-80 mm Hg indicates adequate oxygenation without suppressing the respiratory drive.

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