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Questions 227

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Extract:

Mrs. Byron rushes into the ER carrying 2-year-old Amanda in her arms. She thrusts a half-empty bottle of aspirin at the nurse and states that he saw Amanda eating them just 30 minutes earlier. After confirming that Amanda had eaten at least six tablets of aspirin


Question 1 of 5

The nurse should

Correct Answer: B

Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption.

Extract:


Question 2 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

Question 3 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.

Extract:

Liang Tam, 68 years old, was admitted to the hospital with GI bleeding. She arrived to USA from China, as landed immigrant, 3 months ago. Chin speaks Mandarin and little English. Her daughter, Linda Min, speaks fluent English.


Question 4 of 5

To whom will the registered nurse, during the admission interview, collects the information from?

Correct Answer: B

Rationale: An interpreter ensures accurate communication with the patient, respecting her autonomy.

Extract:

The nurse anticipates that one of the following medications will be given to the patient with hypothyroidism:


Question 5 of 5

IV calcium

Correct Answer: D

Rationale: Synthroid (levothyroxine) replaces thyroid hormone in hypothyroidism.

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