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Questions 149

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Question 1 of 5

The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for?

Correct Answer: A

Rationale: Alzheimer's patients require basic care, suitable for a nursing assistant.

Question 2 of 5

The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:

Correct Answer: B

Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.

Question 3 of 5

The mother of a 9-year-old with asthma has brought an electric CD player for her son to listen to while he is receiving oxygen therapy. The nurse should:

Correct Answer: B

Rationale: Allowing the CD player with earphones provides comfort without disturbing others or interfering with oxygen therapy.

Question 4 of 5

During which stage of injury repair does the wound show evidence of erythema and edema, and phagocytosis begins?

Correct Answer: B

Rationale: The inflammation stage (
B) involves erythema, edema, and phagocytosis as the body responds to injury. Other stages (A, C,
D) have different processes.

Question 5 of 5

The nurse is preparing to walk the postpartum client for the first time since delivery. Before walking the client, the nurse should:

Correct Answer: B

Rationale: Dangling the legs before walking helps assess for orthostatic hypotension and ensures the client is stable, reducing the risk of fainting.

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