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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

Which client event would be considered an adverse event and would require completion of an incident/event/irregular occurrence/variance report? Select all that apply.

Correct Answer: B,D,E

Rationale: Adverse events requiring an incident report include worsening cellulitis due to missed antibiotics , a fall even without injury , and a significant delay in a STAT procedure . Late medication administration is a variance but not typically an adverse event unless harm occurs, and a seizure in a known epileptic is expected unless protocol was not followed.

Question 3 of 5

The graduate nurse (GN) is reinforcing education on sitting on and standing up from a chair to a client with crutches. Which instruction by the GN would cause the supervising nurse to intervene?

Correct Answer: A

Rationale: Holding a crutch in each hand is incorrect as crutches should be placed together on the unaffected side or against a stable surface to free the hands for support when standing. Other instructions (B, C,
D) are correct for safe crutch use during sitting and standing.

Question 4 of 5

An adult comes to the clinic with complaints of frequency and burning on urination. The nurse expects that what test will be ordered for the client?

Correct Answer: A

Rationale: Frequency and burning suggest urinary tract infection; a clean catch urine culture identifies the causative organism and antibiotic sensitivity. CBC, cystoscopy, or straining are less immediate.

Question 5 of 5

A client who has congestive heart failure is being admitted. How should the nurse position this client?

Correct Answer: C

Rationale: Semi-sitting (Fowler's position) reduces cardiac workload and improves breathing in congestive heart failure by decreasing venous return.

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