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Questions 149

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Question 1 of 5

The nurse is caring for the client following a thyroidectomy when suddenly the client becomes nonresponsive and pale, with a BP of 60 systolic. The nurse's initial action should be to:

Correct Answer: B

Rationale: Increasing normal saline infusion addresses hypovolemic shock, likely due to post-thyroidectomy hemorrhage, as the priority action.

Question 2 of 5

A 52-year-old female had a hysterectomy 3 days ago and is recovering on the post-op floor. She is scheduled for an oral pain medication every 4 hours. She received her scheduled dose 1 hour ago but pushes the call light and complains of unrelenting and severe pain. The nurse should first

Correct Answer: D

Rationale: Severe, unrelenting pain post-hysterectomy suggests a complication (e.g., bleeding, infection). Notifying the physician for evaluation is the priority.

Question 3 of 5

Two Mexican immigrant families live closely together and share goods, services, and childcare. To which of the following family structures does this model correspond?

Correct Answer: A

Rationale: A kinship network (
A) involves close family units sharing resources, typical in some Mexican cultures. Extended (
D) is broader, nuclear (
C) is single-family, and binuclear (
B) involves divorce.

Question 4 of 5

A client with COPD must have the arterial blood gas (ABG) test and asks the nurse to explain the purpose of the test. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,B,D

Rationale: ABGs measure CO2, O2, and pH (
A), evaluate treatment efficacy (
B), and guide oxygen therapy (
D). Anemia (
C) is assessed via hemoglobin, not ABGs.

Question 5 of 5

If a client with psoriasis is to begin NB-UVB phototherapy, how long should the initial treatment be?

Correct Answer: A

Rationale: Initial NB-UVB phototherapy starts with 30 seconds to 1 minute (
A) to assess skin tolerance and prevent burns. Longer durations (B, C,
D) are used in subsequent sessions.

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