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Questions 149

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Extract:


Question 1 of 5

The nurse is teaching a group of parents about safety measures to prevent accidental poisoning in children. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: childproof containers are essential to prevent accidental ingestion of medications

Question 2 of 5

The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:

Correct Answer: B

Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.

Question 3 of 5

The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?

Correct Answer: B

Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.

Question 4 of 5

The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?

Correct Answer: D

Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.

Question 5 of 5

The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?

Correct Answer: B

Rationale: Coolness and discoloration of reimplanted digits indicate compromised blood flow, requiring immediate reporting to prevent tissue loss.

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