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Questions 149

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Question 1 of 5

The nurse is preparing to discharge a client following a trabeculoplasty for the treatment of glaucoma. The nurse should instruct the client to:

Correct Answer: D

Rationale: Eye protection prevents injury and supports healing post-trabeculoplasty.

Question 2 of 5

A client is admitted to the intensive care unit after falling on an icy sidewalk and striking the right side of the head. An MRI revealed a right-sided epidural hematoma. Which physical force explains the location of the client's injury?

Correct Answer: A

Rationale: A coup injury occurs at the site of impact, explaining the right-sided epidural hematoma from striking the right side of the head.

Question 3 of 5

The nurse is assigning staff to care for a number of clients with emotional disorders. Which facet of care is suitable to the skills of the nursing assistant?

Correct Answer: B

Rationale: Assisting with bathing and grooming is within the nursing assistant's scope, supporting a client with depression in maintaining personal hygiene.

Question 4 of 5

A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

Correct Answer: C

Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.

Question 5 of 5

A client arrives from surgery following an abdominal perineal resection with a permanent ileostomy. What should be the priority nursing care during the post-op period?

Correct Answer: D

Rationale: Facilitating perineal wound drainage is the priority to prevent infection and promote healing in the immediate postoperative period, as the perineal wound is at high risk for complications.

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