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Questions 148

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Extract:


Question 1 of 5

The nurse is reviewing medication orders for his clients. Which order would necessitate contacting the health care provider?

Correct Answer: B

Rationale: Promethazine is contraindicated in children with Reye’s syndrome due to the risk of worsening neurological symptoms. Other orders are appropriate.

Question 2 of 5

A client with a gastrointestinal bleed has an NG tube to low continuous wall suction. Which technique is the correct procedure for the nurse to utilize when assessing bowel sounds?

Correct Answer: B

Rationale: Clamping the NG tube prevents suction noise from interfering with auscultation, allowing accurate assessment of bowel sounds.

Question 3 of 5

Ideally, the first dose of what vaccine is given at birth?

Correct Answer: D

Rationale: The hepatitis B vaccine is recommended at birth to prevent perinatal transmission and establish early immunity.

Question 4 of 5

The nurse is caring for a client with a history of spinal cord injury who is admitted with a urinary tract infection. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: antibiotics are the primary treatment for a urinary tract infection

Question 5 of 5

The nurse is making assignments for the day. The staff consists of an RN, a novice RN, an LPN, and a nursing assistant. Which client should be assigned to the RN?

Correct Answer: D

Rationale: The client with an esophageal tamponade requires complex monitoring and intervention, best suited for an experienced RN.

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