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Questions 149

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Extract:


Question 1 of 5

The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:

Correct Answer: C

Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.

Question 2 of 5

A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

Correct Answer: A

Rationale: Pancreatic cancer often leads to malnutrition due to impaired digestion and absorption, making alteration in nutrition the primary concern.

Question 3 of 5

The nurse is preparing to educate a 17-year-old male about testicular cancer at a yearly physical. What information would the nurse include in her teaching?

Correct Answer: C

Rationale: Testicular cancer is more common in younger men (15–35), has a high survival rate, and self-examination is best after bathing due to relaxed scrotal skin.

Question 4 of 5

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Correct Answer: C

Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.

Question 5 of 5

An elderly client has a stage II pressure ulcer on her sacrum. During assessment of the client's skin, the nurse would expect to find:

Correct Answer: B

Rationale: A stage II pressure ulcer involves partial-thickness skin loss, appearing as a shallow crater with a nonpainful wound base.

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