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Questions 149

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Extract:


Question 1 of 5

When administering a tuberculin skin test, the nurse should insert the needle at a:

Correct Answer: A

Rationale: A 15° angle is used for intradermal injections like the tuberculin skin test to ensure proper placement in the dermis.

Question 2 of 5

A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?

Correct Answer: C

Rationale: adequate hydration is a priority for any client with sickle cell crisis

Question 3 of 5

A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

Correct Answer: D

Rationale: Serum alpha fetoprotein screening detects neural tube defects, such as spina bifida.

Question 4 of 5

A 10-year-old girl has been diagnosed with scabies. There are three other children and two adults living in the household. The nurse can best educate caregivers by stating,

Correct Answer: B

Rationale: Scabies is highly contagious via skin-to-skin contact or shared items. All household members should be treated simultaneously to prevent reinfestation, regardless of symptoms.

Question 5 of 5

A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

Correct Answer: B

Rationale: A nasogastric tube decompresses the stomach, preventing nausea and aspiration post-laryngectomy.

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