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Questions 149

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Extract:


Question 1 of 5

The nurse is reviewing a new client's medication orders. Which order would prompt the nurse to notify the health care provider?

Correct Answer: C

Rationale: A 50 mg dose of warfarin is unusually high and likely a dosing error, requiring provider clarification. Other orders are within typical ranges.

Question 2 of 5

A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:

Correct Answer: B

Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.

Question 3 of 5

Following a disaster with multiple victims and danger to those present, which group should have priority for protection from injury?

Correct Answer: B

Rationale: Firefighters and police officers (
B) have priority for protection as they are essential for managing the disaster and ensuring safety for others. Victims (
A), bystanders (
C), and healthcare providers (
D) follow in priority.

Question 4 of 5

How many hours of activity per day are necessary to prevent disuse syndrome with muscle atrophy and joint contracture?

Correct Answer: C

Rationale: Approximately 2 hours of activity daily (
C), including range-of-motion exercises or ambulation, helps prevent disuse syndrome, muscle atrophy, and joint contractures in immobilized clients.

Question 5 of 5

A home health nurse finds the client lying unconscious in the doorway of her bathroom. The nurse checks for responsiveness by gently shaking the client and calling her name. When it is determined that the client is nonresponsive, the nurse should:

Correct Answer: C

Rationale: Opening the airway is the first step in managing an unresponsive client to ensure adequate ventilation.

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