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Questions 164

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Extract:


Question 1 of 5

The nurse is caring for a man who had a transsphenoidal hypophysectomy earlier today. He says he has to spit a lot. What nursing action is essential?

Correct Answer: B

Rationale: Excessive spitting may indicate cerebrospinal fluid (CSF) leak, which contains glucose; testing secretions confirms this serious complication.

Question 2 of 5

A client with schizophrenia is ready to begin participating in therapeutic activities. The nurse should suggest that the client:

Correct Answer: C

Rationale: Art activities with a small group provide a structured, low-stress environment suitable for a client with schizophrenia, promoting social interaction without overwhelming them.

Question 3 of 5

A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timoptic should be used with caution in the client with a history of:

Correct Answer: C

Rationale: Timolol, a beta-blocker, can exacerbate emphysema by causing bronchoconstriction. Diabetes , ulcers , and pancreatitis are not contraindications.

Question 4 of 5

The unit secretary notifies the nurse that 4 clients called the nurses' station reporting pain. Which client should the nurse assess first?

Correct Answer: A

Rationale: Shoulder pain radiating down the arm post-amputation suggests a possible cardiac event (e.g., angina), a life-threatening condition requiring immediate assessment. Other pains, while severe, are more likely related to known conditions.

Question 5 of 5

The nurse is reviewing new medication prescriptions for a client with pneumonia and chronic kidney disease. The nurse should clarify the prescription for

Correct Answer: B

Rationale: Levofloxacin is primarily excreted by the kidneys, and its use in clients with chronic kidney disease may require dose adjustments or alternative antibiotics to prevent toxicity due to impaired clearance.

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