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Question 1 of 5

The nurse is taking the blood pressure of the obese client. If the blood pressure cuff is too small, the results will be:

Correct Answer: A

Rationale: A blood pressure cuff that is too small will result in a false elevation of the blood pressure reading due to increased pressure on the arm.

Question 2 of 5

Which of the following statements regarding proper use of a cane is correct?

Correct Answer: B

Rationale: Downstairs, the cane and injured leg move first, followed by the good leg, ensuring stability. The cane is held opposite the injured side, with the elbow slightly bent, and reaches hip level.

Question 3 of 5

A client arrives in the emergency room with severe burns of the hands, right arm, face, and neck. The nurse needs to start an IV. Which site would be most suitable for this client?

Correct Answer: B

Rationale: The left antecubital fossa is suitable as it is away from burned areas (hands, right arm, face, neck) and provides a large vein for IV access.

Question 4 of 5

Which one of the following situations represents a maturational crisis for the family?

Correct Answer: A

Rationale: A 4-year-old entering nursery school is a maturational crisis, as it involves a normal developmental transition that can stress family dynamics.

Question 5 of 5

The physician has prescribed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:

Correct Answer: A

Rationale: Tyramine with MAOIs like tranylcypromine can cause a hypertensive crisis.

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The nurse is caring for the client following a thyroidectomy when suddenly the client becomes nonresponsive and pale, with a BP of 60 systolic. The nurse's initial action should be to:
The nurse is performing discharge diet teaching to a client with a stage 1 decubitus ulcer on the coccyx. Which diet selection by this client would indicate that the client has a clear understanding of the proper diet for healing of a decubitus ulcer?
The nurse is caring for an obstetrical client in early labor. After the rupture of membranes, the nurse should give priority to:

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