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Questions 149

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Extract:


Question 1 of 5

The nurse on the 3-11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action?

Correct Answer: A

Rationale: The surgeon is responsible for ensuring informed consent, so contacting them to clarify the procedure and complications with the client is the most appropriate action.

Question 2 of 5

Physician's orders for a client with acute pancreatitis include the following: strict NPO and nasogastric tube to low intermittent suction. The nurse recognizes that witholding oral intake will:

Correct Answer: A

Rationale: Withholding oral intake (NPO) reduces stimulation of the pancreas, thereby decreasing the secretion of pancreatic enzymes that can exacerbate pancreatitis.

Question 3 of 5

Which of the following characterizes peer group relationships in 8- and 9-year-olds?

Correct Answer: B

Rationale: At 8-9 years, children form strong same-sex friendships with loyalty, often engaging in group activities that reinforce social bonds.

Question 4 of 5

Which would be included in the nursing care plan of a client experiencing severe delirium tremens?

Correct Answer: B

Rationale: Keeping closet and bathroom doors closed minimizes visual stimuli that could exacerbate hallucinations or confusion in delirium tremens, promoting a safe environment.

Question 5 of 5

A client must take oral potassium supplements every day. The nurse explains to the client that the potassium supplements

Correct Answer: C

Rationale: Oral potassium supplements should be diluted in water or juice to reduce gastric irritation and improve absorption.

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