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Questions 149

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Question 1 of 5

The nurse on an orthopedic unit is assigned to care for four clients with displaced bone fractures. Which client will not be treated with the use of traction?

Correct Answer: D

Rationale: Ankle fractures are typically managed with immobilization or surgery, not traction.

Question 2 of 5

A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?

Correct Answer: B

Rationale: Obtaining the signed consent form is the nurse's primary responsibility to ensure informed consent before surgery.

Question 3 of 5

The nurse is caring for a client who suffers from post-traumatic stress disorder (PTSD) following the loss of her husband and children in an automobile accident. Which interventions by the nurse are appropriate for this client? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Appropriate PTSD interventions include teaching coping (
A), relaxation techniques (
B), supportive listening (
C), and providing a safe environment (
D). Avoiding public interaction (E) may worsen isolation.

Question 4 of 5

The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT

Correct Answer: D

Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.

Question 5 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

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