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Questions 148

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Question 1 of 5

The nurse is talking to a client and his family about hepatitis. Which of the following statements by a family member indicate understanding of the nurse's teaching? Select all that apply.

Correct Answer: A, B, D, E

Rationale: Hepatitis D requires hepatitis B, hepatitis A is year-round and spread via contaminated food/water, and hepatitis B is transmitted through blood/body fluids. Hepatitis D is not waterborne.

Question 2 of 5

The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

Correct Answer: A

Rationale: Rotating sites prevents skin irritation and ensures consistent absorption.

Question 3 of 5

A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

Correct Answer: D

Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, so it should be questioned; meperidine is preferred.

Question 4 of 5

A client has returned from surgery after removal of a tumor of the colon and creation of a temporary colostomy. She refuses to take a deep breath and cough then refuses to turn. Which of the following should the nurse assess first in trying to understand her lack of cooperation?

Correct Answer: D

Rationale: Pain (
D) is the most likely reason for refusing to cough or turn post-surgery, as these actions can exacerbate discomfort. Assessing pain first guides appropriate interventions. Delirium (
A), vital signs (
B), and oxygen saturation (
C) are secondary.

Question 5 of 5

The physician has ordered cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:

Correct Answer: A

Rationale: For children under 3, pulling the ear down and back straightens the ear canal for proper administration of ear drops.

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