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Questions 149

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Question 1 of 5

Upon entering the client's room the nurse discovers a dose of amoxicillin at the bedside. Which of the following should the nurse do?

Correct Answer: A

Rationale: Documenting in the medical record and filing an incident report address the medication error and ensure follow-up for patient safety.

Question 2 of 5

The nurse on a physical rehabilitation unit is assigned a 63-year-old male client post-amputation of his left lower limb above the knee two weeks prior. The client has a history of peripheral vascular disease due to diabetes mellitus. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Pain after wrapping the stump may indicate improper wrapping or complications, requiring further assessment and education.

Question 3 of 5

Two Mexican immigrant families live closely together and share goods, services, and childcare. To which of the following family structures does this model correspond?

Correct Answer: A

Rationale: A kinship network (
A) involves close family units sharing resources, typical in some Mexican cultures. Extended (
D) is broader, nuclear (
C) is single-family, and binuclear (
B) involves divorce.

Question 4 of 5

A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer: D

Rationale: Acyclovir can cause nephrotoxicity, so encouraging fluids is critical to prevent kidney damage.

Question 5 of 5

A client arrives in the emergency room with severe burns of the hands, right arm, face, and neck. The nurse needs to start an IV. Which site would be most suitable for this client?

Correct Answer: B

Rationale: The left antecubital fossa is suitable as it is away from burned areas (hands, right arm, face, neck) and provides a large vein for IV access.

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