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Questions 164

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Extract:


Question 1 of 5

The nurse is caring for an adult being admitted with a head injury. The nurse plans to place the client in which position?

Correct Answer: C

Rationale: Semi-reclining (30-45 degrees) reduces intracranial pressure in head injury by promoting venous drainage, unlike prone, supine, or upright positions.

Question 2 of 5

Which of these findings indicate that a pump set to deliver a basal rate of 10 ml per hour plus PRN morphine drip for breakthrough pain is not working?

Correct Answer: C

Rationale: The minimal dose is 10 ml per hour, which would mean 40 mls are given in a 4 hour period. Only 60 mls should be left at noon. The pump is not functioning when more than expected medicine is left in the container.

Question 3 of 5

Which of the following medications would be least helpful for a client who is experiencing an acute attack of bronchial asthma?

Correct Answer: A

Rationale: Cromolyn sodium prevents asthma attacks but is not effective for acute attacks. Epinephrine, metaproterenol, and theophylline provide rapid bronchodilation.

Extract:

Laboratory results
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
180 mg/dL
(10.0 mmol/L)


Question 4 of 5

The nurse is preparing to administer insulin aspart subcutaneously at 0700 to a client with type 1 diabetes mellitus. Which of following actions would be a priority for the nurse to take?

Correct Answer: B

Rationale: Insulin aspart is rapid-acting, peaking within 1-3 hours. Administering it at 0700 requires breakfast within 15 minutes to prevent hypoglycemia. Site selection is routine, rechecking glucose later is secondary, and teaching is not urgent.

Extract:


Question 5 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.

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