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Questions 227

NCLEX-PN

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Extract:

A male patient with thrombophlebitis is apprehensive about the possibility of a clot reaching his heart, causing sudden death.


Question 1 of 5

The nurse's initial intervention should be to:

Correct Answer: A

Rationale: Clarifying that thrombophlebitis clots rarely reach the heart addresses the patient's fear directly.

Extract:

Liquid iron preparation


Question 2 of 5

Liquid iron preparation, which of the following directions would be appropriate for the nurse to teach?

Correct Answer: C

Rationale: Using a straw prevents tooth staining from liquid iron.

Extract:


Question 3 of 5

A client with mastoiditis has a left mastoidectomy with tympanoplasty. The nurse should observe the client for signs of damage to the sixth crania nerve, which include:

Correct Answer: B

Rationale: The sixth cranial nerve (abducens) controls lateral eye movement, so damage would result in an inability to look laterally.

Question 4 of 5

A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?

Correct Answer: A

Rationale: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.

Question 5 of 5

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

Correct Answer: C

Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

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