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Questions 149

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Question 1 of 5

The nurse is making a home visit to an elderly client during the summer. Upon arrival, the nurse notices the refrigerator and freezer doors are open as the client is using both for air conditioning. Which of the following actions by the nurse are most appropriate?

Correct Answer: B

Rationale: Discussing the risks (e.g., food spoilage, electrical hazards) with the client and family promotes safety and education.

Question 2 of 5

Which finding is the best indication that a client with ineffective airway clearance needs suctioning?

Correct Answer: C

Rationale: Adventitious breath sounds (e.g., rhonchi or gurgling) indicate mucus obstruction, making suctioning necessary to clear the airway.

Question 3 of 5

The client who is admitted with thrombophlebitis has an order for heparin. The medication should be administered using a/an:

Correct Answer: B

Rationale: An infusion controller ensures precise heparin delivery, critical for maintaining therapeutic levels and preventing complications.

Question 4 of 5

The nurse is making a home visit to an elderly client during the summer. Upon arrival, the nurse notices the refrigerator and freezer doors are open as the client is using both for air conditioning. Which of the following actions by the nurse are most appropriate?

Correct Answer: B

Rationale: Discussing the risks (e.g., food spoilage, electrical hazards) with the client and family promotes safety and education.

Question 5 of 5

The registered nurse is making assignments for the day. Which client should not be assigned to the pregnant nurse?

Correct Answer: B

Rationale: A radium implant emits radiation, posing a risk to the fetus, so the pregnant nurse should not care for this client.

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