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Questions 148

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Question 1 of 5

The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?

Correct Answer: D

Rationale: Grimacing during care indicates pain, prompting the nurse to administer an analgesic.

Question 2 of 5

A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to

Correct Answer: C

Rationale: Immediate irrigation with saline removes the chemical, preventing further eye damage. Other actions follow after irrigation.

Question 3 of 5

If a group includes only members selected on a specific basis, such as women with a history of domestic or partner abuse, how is this type of group classified?

Correct Answer: A

Rationale: A group with members sharing a specific characteristic, like domestic abuse history, is homogeneous (
A). Closed (
B) refers to membership limits, heterogeneous (
C) to diversity, and task (
D) to purpose.

Question 4 of 5

Upon admission to the hospital, a client reports having 'the worst headache I've ever had.' The nurse should give the highest priority to:

Correct Answer: C

Rationale: A sudden, severe headache may indicate a serious condition like subarachnoid hemorrhage. Neuro checks are the priority to assess for neurological changes.

Question 5 of 5

The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

Correct Answer: C

Rationale: An O2 saturation of 68% indicates severe hypoxemia, requiring immediate oxygen administration.

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