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Questions 149

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Question 1 of 5

The nurse is caring for a client with a wound with purulent, foul-smelling drainage. A wound culture is ordered. Which describes the correct collection technique?

Correct Answer: A

Rationale: Cleaning the wound with saline removes surface contaminants, ensuring an accurate culture from viable tissue.

Question 2 of 5

The nurse on oncology is caring for a client with a white blood count of 600. During evening visitation, a visitor brings a potted plant. What action should the nurse take?

Correct Answer: D

Rationale: A low WBC (neutropenia) increases infection risk, so the plant, which may harbor bacteria or fungi, should be removed.

Question 3 of 5

The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for?

Correct Answer: A

Rationale: Alzheimer's patients require basic care, suitable for a nursing assistant.

Question 4 of 5

The 84-year-old male has returned from the recovery room following a total hip repair. He complains of pain and is medicated with morphine sulfate and promethazine. Which medication should be kept available for the client being treated with opioid analgesics?

Correct Answer: A

Rationale: Naloxone reverses opioid overdose, critical for managing respiratory depression from morphine.

Question 5 of 5

The nurse is inserting an intravenous line into the right arm and has identified a potential insertion site. Place the steps (indicated in Roman numerals) of venipuncture in the proper sequential order.

Order the Items

Source Container

Palpate vein.
Cleanse skin
Apply tourniquet.
Perform venipuncture.

Correct Answer: C,A,B,D

Rationale: Venipuncture sequence: Apply tourniquet (III), palpate vein (I), cleanse skin (II), perform venipuncture (IV).

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