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Questions 148

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Question 1 of 5

The nurse is preparing the client for surgery. The pre-op medication includes atropine sulfate 0.4 mg, meperidine (Demerol HCl) 50 mg, and promethazine hydrochloride (Phenergan) 25 mg IM. Which action should the nurse do first?

Correct Answer: A

Rationale: Ensuring the surgical permit is signed is the priority to confirm informed consent before administering preoperative medications.

Question 2 of 5

A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:

Correct Answer: D

Rationale: Raw fruits and vegetables may harbor pathogens, increasing infection risk in immunocompromised clients with HIV.

Question 3 of 5

A client with Alzheimer's disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

Correct Answer: C

Rationale: Simple signs help orient clients with Alzheimer's, reducing confusion and promoting independence in a new environment.

Question 4 of 5

The nurse is assessing elderly clients at a community center. Which of the following findings would be the most cause for concern?

Correct Answer: D

Rationale: Rales bilaterally on chest auscultation suggest fluid in the lungs, which could indicate serious conditions like heart failure or pneumonia, requiring immediate attention. Dry mouth, height loss, and stiffened joints are common in aging but less urgent.

Question 5 of 5

The nurse is teaching circumcision care to the mother of a newborn. Which statement indicates that the mother needs further teaching?

Correct Answer: C

Rationale: Using a heat lamp is incorrect and could cause burns or delay healing; the other statements reflect appropriate circumcision care.

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