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Questions 163

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Question 1 of 5

The nurse is providing home care for a client who is visually impaired. What safety precaution is most appropriate for this client?

Correct Answer: A

Rationale: Removing scatter rugs prevents tripping, the most effective safety measure for a visually impaired client at home.

Question 2 of 5

In the intensive care unit, the nurse cares for a client admitted with a head injury who develops syndrome of inappropriate antidiuretic hormone. Which data should the nurse expect with the onset of this condition? Select all that apply.

Correct Answer: A,C,E

Rationale: SIADH causes water retention, leading to decreased serum osmolality , high urine specific gravity , and low serum sodium due to dilution. High osmolality and increased urine output are opposite findings.

Question 3 of 5

The nurse observes a nursing assistant caring for an 86-year-old woman who had an open reduction/internal fixation for a fractured femur two days ago. Which action by the nursing assistant needs correction by the nurse?

Correct Answer: B

Rationale: Full weight-bearing two days post-femur fixation is inappropriate, risking hardware failure; partial or non-weight-bearing is typical. Abductor pillows, commodes, and self-bathing are appropriate.

Question 4 of 5

A client is receiving oxygen therapy via a nasal cannula. When providing nursing care, which of the following interventions would be appropriate?

Correct Answer: B

Rationale: Inspect the nares and ears for skin breakdown. Oxygen therapy can cause drying of the nasal mucosa. Pressure from the tubing can cause skin irritation.

Question 5 of 5

The nurse is caring for a client who has a prescription for albuterol 5 mg via nebulizer every 4 hours. The nurse has albuterol 2.5 mg/3 mL available. How many mL should the nurse administer to the client with each dose? Record your answer using a whole number.

Correct Answer: 6 mL/dose

Rationale: Albuterol 5 mg is needed, with 2.5 mg/3 mL available. Thus, 5 mg ÷ 2.5 mg × 3 mL = 6 mL per dose.

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