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Questions 157

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Question 1 of 5

The nurse is planning the care for the client with multiple stage IV pressure ulcers. Which complication results from these pressure ulcers?

Correct Answer: B

Rationale: Stage IV pressure ulcers expose bone, risking osteomyelitis (bone infection), a severe complication.

Question 2 of 5

The client has sustained severe burns on both the anterior right and left leg and the anterior chest and abdomen. According to the rule of nines, what percentage of the body has been burned?

Correct Answer: 36

Rationale: Rule of nines: anterior legs (9% each = 18%), anterior chest/abdomen (18%) = 18% + 18% = 36%.

Question 3 of 5

The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.

Question 4 of 5

The nurse is at home preparing for the 7 a.m. to 7 p.m. shift and has the flu with a temperature of 100.4°F. Which action should the nurse take?

Correct Answer: A

Rationale: Flu with fever risks patient safety; notifying the hospital to stay home is the ethical action.

Question 5 of 5

The client comes to the emergency department complaining of pain in the right forearm. The nurse notes a large area of redness and edema over the forearm, and the client has an elevated temperature. Which condition should the nurse suspect?

Correct Answer: A

Rationale: Redness, edema, and fever suggest cellulitis, a bacterial skin infection, the most likely diagnosis.

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