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Questions 149

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Extract:


Question 1 of 5

The nurse is performing discharge teaching on a client at high risk for the development of skin cancer. Which instruction should be included in the client teaching?

Correct Answer: D

Rationale: Wearing sunscreen is a key preventive measure for skin cancer, reducing UV exposure, and should be emphasized in teaching.

Question 2 of 5

The transverse plane

Correct Answer: A

Rationale: The transverse plane divides the body horizontally into superior (upper) and inferior (lower) sections.

Question 3 of 5

The doctor has ordered Ampicillin 100 mg every 6 hours IV push for an infant weighing 7 kg. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The nurse should:

Correct Answer: D

Rationale: The ordered dose (400 mg/day) exceeds the safe range (175-350 mg/day for a 7 kg infant), requiring the nurse to verify the order with the doctor.

Question 4 of 5

The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:

Correct Answer: A

Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.

Question 5 of 5

The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?

Correct Answer: C

Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.

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