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Questions 164

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Question 1 of 5

The school nurse observes a 7-year-old client with attention deficit hyperactivity disorder begin to throw books and attempt to hit the classmates. Which of the following actions would be a priority for the nurse to take?

Correct Answer: C

Rationale: Removing the client to a quiet room (
C) ensures safety and de-escalates the situation. Balloon blowing (
A) is inappropriate, PRN methylphenidate (
B) is not typically ordered, and consequences (
D) are secondary.

Question 2 of 5

The nurse is caring for a client with benign prostatic hypertrophy (BPH). Which of the following assessments would the nurse anticipate finding?

Correct Answer: C

Rationale: Frequent urination. BPH causes overflow incontinence with frequent urination in small amounts due to bladder obstruction.

Question 3 of 5

A client scheduled for a computerized axial tomography (CAT) using a contrast medium scan of the brain should be assessed for:

Correct Answer: B

Rationale: Contrast medium often contains iodine, so assessing for iodine sensitivity prevents allergic reactions. Claustrophobia, liver function, and implants are secondary concerns.

Question 4 of 5

The nurse is caring for a woman who has internal radiation for cancer of the cervix. Which of the following situations poses the greatest risk for others?

Correct Answer: A

Rationale: Prolonged close contact (daughter's hours-long visit) increases radiation exposure risk. Brief visits, tray setup, or mopping pose minimal risk.

Question 5 of 5

Before giving furosemide (Lasix) to an adult, the nurse checks the laboratory report for the last serum potassium level. Which finding would be of concern to the nurse?

Correct Answer: A

Rationale: A potassium level of 3.2 mEq/L is low, concerning with furosemide, which can further deplete potassium, risking arrhythmias.

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