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Questions 149

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Question 1 of 5

The nurse is caring for a client with acquired immunodeficiency syndrome who has oral candidiasis. The nurse should clean the client's mouth using:

Correct Answer: B

Rationale: A soft gauze pad is gentle and effective for cleaning the mouth in oral candidiasis without causing trauma.

Question 2 of 5

The nurse is precepting a student nurse on an orthopedic floor. The student nurse needs to insert an indwelling catheter into a male client. Which of the following statements by the student nurse are correct regarding insertion of the catheter? Select all that apply.

Correct Answer: A,B,C

Rationale: Aseptic technique, supine positioning, and sterile lubrication are correct for catheter insertion. Inflating the balloon with 5 cc is incorrect, as most catheters require 10 cc of sterile water for balloon inflation.

Question 3 of 5

The client using a diaphragm should be instructed to:

Correct Answer: D

Rationale: Surgery, especially pelvic or abdominal, can alter pelvic anatomy, requiring the diaphragm to be resized for effective contraception.

Question 4 of 5

The nurse must administer in one syringe a combined dose of two different insulins from two vials. Place the steps (Roman numerals) in the correct order.

Order the Items

Source Container

Cleanse tops of vials.
Inject air into vial 1.
Withdraw medication from vial 1.
Change needles.
Withdraw medication from vial 2.
Inject air into vial 2.

Correct Answer: A,B,F,C,E

Rationale: The correct order is: Cleanse vials (I), inject air into vial 1 (II), inject air into vial 2 (VI), withdraw from vial 1 (III), withdraw from vial 2 (V). Changing needles (IV) is not standard.

Question 5 of 5

Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?

Correct Answer: A

Rationale: Regular cleaning of the hearing aid mold prevents wax buildup and ensures proper function.

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