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Questions 148

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Question 1 of 5

The nurse is preparing to pull a thin, frail client up in the bed. No one responds to the nurse's call for lifting assistance. Which is the best action by the nurse?

Correct Answer: C

Rationale: Using the draw sheet to pull the client up is the safest option to prevent injury to both the client and nurse when assistance is unavailable.

Question 2 of 5

The physician has prescribed Cyclogel (cyclopentolate hydrochloride) drops for a client following a scleral buckling. The nurse knows that the purpose of the medication is to:

Correct Answer: A

Rationale: Cyclopentolate is a cycloplegic that paralyzes the ciliary muscle, resting the muscles of accommodation.

Question 3 of 5

A 5-year-old client with hyperthyroidism is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: Exophthalmos (bulging eyes) is a common sign of hyperthyroidism due to thyroid hormone effects on orbital tissues.

Question 4 of 5

A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is to:

Correct Answer: A

Rationale: Blood pressure monitoring is critical post-adrenalectomy, as the adrenal gland regulates blood pressure through hormone production, and surgery may cause instability.

Question 5 of 5

The client presents to the emergency room with a 'bull's eye' rash. Which question would be most appropriate for the nurse to ask the client?

Correct Answer: A

Rationale: A bull's eye rash is characteristic of Lyme disease, often caused by tick bites, making this the most relevant question.

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