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Questions 149

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Question 1 of 5

The nurse is working with a nursing student to administer an enema solution to a client. The client states she feels painful cramping. The nurse should intervene by

Correct Answer: C

Rationale: Painful cramping during an enema suggests too-rapid administration. Clamping briefly and slowing the rate reduces discomfort.

Question 2 of 5

If a client has had repair of a right fractured hip and has an overhead trapeze on the bed to assist with movement, which of the following instructions should the client receive about use of the assistive device? Select all that apply.

Correct Answer: A,C

Rationale: Using both hands on the trapeze (
A) and flexing the left leg (
C) assist safe movement post-right hip repair. Using one hand (
B) or keeping the leg extended (
D) is less effective.

Question 3 of 5

The nurse is providing discharge instructions to the parents of a 6-month-old child with surgical repair for cryptorchidism. Which instruction would NOT be stressed?

Correct Answer: B

Rationale: Bed rest for 2-3 days is not typically required for cryptorchidism repair in infants, as recovery is quicker. Other instructions are critical for monitoring and safety.

Question 4 of 5

A client with terminal lung cancer is admitted to the unit. A family member asks the nurse, 'How much longer will it be?' Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response acknowledges the family's concern, provides an honest answer, and opens the conversation to address their specific worries, promoting therapeutic communication.

Question 5 of 5

The nurse is preparing to discharge a client who is taking an MAOI. The nurse should instruct the client to:

Correct Answer: B

Rationale: MAOIs interact dangerously with OTC cold and hayfever medications containing sympathomimetics, risking hypertensive crisis.

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