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Questions 164

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Question 1 of 5

The nurse is talking with a client who is scheduled for a lumbar puncture. Which of the following statements by the client would require follow-up?

Correct Answer: A

Rationale: Lumbar punctures are typically performed in a lateral or sitting position, not prone (
A), requiring clarification. Urinating beforehand (
B), needle insertion (
C), and transient pain (
D) are correct.

Question 2 of 5

The nurse is reinforcing skin care guidelines for a client who is receiving external radiation therapy. Which of the following statements by the client would indicate a correct understanding of the teaching?

Correct Answer: C,D,E

Rationale: Sun protection (
C), gentle washing (
D), and loose clothing (E) are correct for radiation therapy skin care. Ice packs (
A) can damage skin, and baby oil (
B) may irritate or trap radiation.

Question 3 of 5

Following cardiac surgery, a client's urine output for the last hour is 20 mL. The nurse understands that this indicates which of the following?

Correct Answer: B

Rationale: Low urine output (20 mL/hour) post-cardiac surgery suggests insufficient cardiac output, impairing renal perfusion. Hyperkalemia, inadequate fluids, or diuresis are less likely causes without additional signs.

Question 4 of 5

The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?

Correct Answer: D

Rationale: Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.

Question 5 of 5

A client is admitted for hemodialysis. Which abnormal lab value would the nurse anticipate not being improved by hemodialysis?

Correct Answer: A

Rationale: Low hemoglobin. Hemodialysis corrects electrolyte imbalances but does not improve anemia.

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