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Questions 149

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Extract:


Question 1 of 5

To minimize confusion in the elderly hospitalized client, the nurse should:

Correct Answer: D

Rationale: Calm, clear explanations reduce anxiety and confusion in elderly clients, promoting orientation and comfort in the hospital setting.

Question 2 of 5

A 52-year-old female had a hysterectomy 3 days ago and is recovering on the post-op floor. She is scheduled for an oral pain medication every 4 hours. She received her scheduled dose 1 hour ago but pushes the call light and complains of unrelenting and severe pain. The nurse should first

Correct Answer: D

Rationale: Severe, unrelenting pain post-hysterectomy suggests a complication (e.g., bleeding, infection). Notifying the physician for evaluation is the priority.

Question 3 of 5

Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell's traction?

Correct Answer: B

Rationale: A 12-year-old male with a similar condition provides age-appropriate companionship and shared care needs.

Question 4 of 5

The nurse is caring for an infant admitted from the delivery room. Which finding should be reported?

Correct Answer: D

Rationale: Absent femoral pulses suggest coarctation of the aorta, a critical condition.

Question 5 of 5

Which of the following would be considered a sensible type of fluid loss?

Correct Answer: A

Rationale: Sensible fluid loss is measurable, such as sweat or urine. Respiratory excretions, vomit, and fecal water loss are insensible (not easily measured).

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