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Questions 149

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Question 1 of 5

The nurse is in the medication room drawing up insulin for a client when a code blue is called. In his haste to respond to the call, the nurse places the syringe of insulin on the counter and responds to the code. Afterward, the nurse returns to the medication room and retrieves the syringe of insulin. Which action by the nurse is correct?

Correct Answer: C

Rationale: The syringe was left unattended, risking contamination or mix-up, so it should be disposed of in the sharps container, and a new dose drawn up to ensure safety.

Question 2 of 5

A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:

Correct Answer: A

Rationale: A supportive environment fosters trust and safety, critical for a client with PTSD to begin processing trauma.

Question 3 of 5

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, which can cause diabetes insipidus-like symptoms, requiring immediate attention.

Question 4 of 5

The nurse is caring for a client who has an order for Diuril. Directions say to reconstitute with 20 mL of sterile water. This will provide a concentration of mg/mL.

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Correct Answer: 1

Rationale:

Question 5 of 5

The nurse knows the best intervention for preventing a postoperative infection is

Correct Answer: D

Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.

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