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Questions 148

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Extract:


Question 1 of 5

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

Correct Answer: A

Rationale: Applying the new tie before removing the old one ensures the tracheotomy tube remains secure, preventing accidental dislodgement.

Question 2 of 5

A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session?

Correct Answer: B

Rationale: Renal biopsies may cause discomfort during needle insertion, and informing the client prepares them for the procedure.

Question 3 of 5

An 18-month-old is admitted to the hospital with acute laryngotracheobronchitis. When assessing the respiratory status, the nurse should expect to find:

Correct Answer: A

Rationale: Acute laryngotracheobronchitis (croup) is characterized by inspiratory stridor and a harsh, barking cough due to upper airway inflammation and narrowing.

Question 4 of 5

A nurse manager is educating a group of nursing students about the Patient's Bill of Rights. The nurse knows that the student nurses have an understanding of the bill when one of the nurses makes which statement?

Correct Answer: C

Rationale: The Patient’s Bill of Rights includes the right to a fair review of claims against healthcare providers. Other options are incorrect or misrepresent client rights.

Question 5 of 5

A mother brings her two-year-old boy to the pediatrician’s office. Which of the following symptoms would suggest to the nurse that the child has strabismus?

Correct Answer: C

Rationale: visual axes are not parallel so the brain receives two images

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