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Questions 164

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Extract:


Question 1 of 5

The nurse is monitoring a client with suspected pulmonary tuberculosis. Which characteristic signs and symptoms does the nurse expect? Select all that apply.

Correct Answer: D,E,F

Rationale: Night sweats, weight loss, and purulent/blood-tinged sputum are hallmark symptoms of pulmonary tuberculosis.

Question 2 of 5

An 8-year-old child is admitted to the hospital with pneumonia. The child has had frequent respiratory infections. A chloride sweat test is ordered. The nurse knows that the reason for this test is to rule out which condition?

Correct Answer: C

Rationale: Frequent respiratory infections and pneumonia suggest cystic fibrosis, diagnosed via chloride sweat test, which detects elevated sweat chloride levels.

Question 3 of 5

Following a motor vehicle crash, the nurse stops to help a victim who has a laceration with spurting blood. The nurse giving reasonable assistance could be held liable despite Good Samaritan laws in which situations? Select all that apply.

Correct Answer: A,C

Rationale: Accepting money negates Good Samaritan protection, and failure to apply direct pressure could be considered negligent care.

Question 4 of 5

The clinic nurse is collecting data on a client at 22 weeks gestation during a prenatal visit. Which finding is most concerning?

Correct Answer: B

Rationale: Lisinopril is contraindicated in pregnancy due to the risk of fetal harm and requires immediate discontinuation.

Question 5 of 5

A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?

Correct Answer: A

Rationale: Elbow. The elbow restraint will prevent the child from touching the surgical site without hindering movement of other parts of the body.

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