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Question 1 of 5

The nurse is monitoring clients before and after scheduled procedures. Follow-up would be required if the nurse places a client in which position?

Correct Answer: D

Rationale: After a lumbar puncture, clients should remain supine for several hours to prevent cerebrospinal fluid leakage and headaches. The right side-lying position is correct post-liver biopsy to prevent bleeding, and Sims position is appropriate for an enema.

Question 2 of 5

Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?

Correct Answer: A

Rationale: 0.9% sodium chloride (normal saline) is isotonic and compatible with blood, preventing cell lysis or clotting during IV flushing. The other solutions are inappropriate for this purpose. Pharmacological Therapies

Question 3 of 5

During suctioning of the client's tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?

Correct Answer: A

Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall. Continuing, increasing pressure, or deeper suction risks injury.

Question 4 of 5

The nurse is caring for a woman who has diabetic neuropathy. The nurse knows that the client needs more instruction when the client makes which statement?

Correct Answer: A

Rationale: Hot water bottles can burn insensitive neuropathic feet, risking injury. Drying feet, podiatrist care, and using Tegretol for neuropathic pain are appropriate.

Question 5 of 5

The family carries out its health care functions in which of the following ways?

Correct Answer: B

Rationale: Families often provide sick care, such as administering medications or monitoring symptoms, as a primary healthcare function. The other options are less accurate or overly specific. Prevention and Early Detection of Disease

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