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Questions 158

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Extract:


Question 1 of 5

The nurse is removing a peripherally inserted central catheter (PICC). The nurse should position the patient in which position?

Correct Answer: D

Rationale: Trendelenburg position (head down) is used when removing a PICC line to reduce the risk of air embolism by increasing venous pressure. Fowler’s, right, or left side-lying positions do not provide this protection.

Question 2 of 5

A child becomes neutropenic and is placed on protective isolation. The purpose of protective isolation is to:

Correct Answer: A

Rationale: The child no longer has normal white blood cells and is extremely susceptible to infection, necessitating protective isolation.

Question 3 of 5

The nurse is caring for a client with a history of peripheral artery disease. The nurse should expect the client to have:

Correct Answer: A

Rationale: Peripheral artery disease reduces blood flow, causing intermittent claudication (leg pain with activity) due to muscle ischemia.

Question 4 of 5

The nurse is assessing an adult female client for hypovolemia.

Correct Answer: A

Rationale: Elevated hematocrit (55%) indicates hemoconcentration due to fluid loss in hypovolemia. Potassium (
B) and BUN (
D) are within normal ranges, and urine specific gravity (
C) is normal, not elevated as expected in hypovolemia.

Question 5 of 5

A client with a history of tuberculosis is admitted with complaints of hemoptysis. The nurse should give priority to:"

Correct Answer: B

Rationale: Hemoptysis in tuberculosis indicates potential lung tissue damage, so monitoring respiratory status is critical to assess for airway compromise or worsening infection.

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