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Questions 164

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Question 1 of 5

The nurse is preparing to instill dialysate for a client who is receiving peritoneal dialysis. It would be a priority for the nurse to

Correct Answer: C

Rationale: Sterile technique when spiking and attaching the dialysate bag prevents peritonitis, a life-threatening complication. Semi-Fowler positioning, recording output, and bag placement are important but secondary to infection prevention.

Question 2 of 5

A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?

Correct Answer: D

Rationale: A-C are associated side effects of Tegretol.

Question 3 of 5

Which incidence should be documented on an unusual incident report?

Correct Answer: D

Rationale: A fall is an unusual incident requiring documentation due to potential injury and liability. Leaving AMA, transfusion fever, or upset stomach are notable but less likely to require an incident report.

Question 4 of 5

Following visitation, the nurse observes a client's wife sitting alone crying. When approached, the wife states, 'I'm so worried about him.' The best response by the nurse is:

Correct Answer: B

Rationale: Tell me what is worrying you' encourages the wife to express her concerns, facilitating support. Other responses assume causes or defer to others prematurely.

Question 5 of 5

Which symptom is considered an adverse reaction to Kantrex (kanamycin)?

Correct Answer: A

Rationale: Kanamycin, an aminoglycoside, is ototoxic, and diminished hearing is a known adverse reaction requiring monitoring.

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