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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:

Correct Answer: C

Rationale: The earlobe is a suitable site for pulse oximetry in peripheral vascular disease, as it is less affected by impaired peripheral circulation.

Question 2 of 5

An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?

Correct Answer: A

Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.

Question 3 of 5

The nurse is caring for a client hospitalized with nephotic syndrome. Based on the client's treatment, the nurse should:

Correct Answer: D

Rationale: Nephrotic syndrome causes fluid retention, but adequate hydration is needed to maintain renal perfusion, so offering additional fluids is appropriate.

Question 4 of 5

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

Correct Answer: A

Rationale: Clients with MRSA require contact precautions due to the highly contagious nature of the infection, necessitating a private room to prevent transmission to others.

Question 5 of 5

Which of the following actions does NOT require the use of standard precautions?

Correct Answer: C

Rationale: Standard precautions are required for contact with blood, urine, and vomit due to potential infectious agents. Sweat is not considered a significant risk for transmission.

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