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Questions 149

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Extract:


Question 1 of 5

When caring for a client with an anterior cervical discectomy, the nurse should give priority to assessing for post-operative bleeding. The nurse should pay particular attention to:

Correct Answer: D

Rationale: Swelling in the posterior neck may indicate a hematoma, which can compress the airway or spinal cord, a critical post-operative complication.

Question 2 of 5

When drawing up a dosage of subcutaneous heparin, how much air should be drawn into the syringe after the correct dosage is obtained?

Correct Answer: C

Rationale: An air lock of 0.2-0.3 mL (
C) is used in subcutaneous heparin injections to ensure the full dose is delivered and to prevent leakage.

Question 3 of 5

The nurse is doing hourly rounds when he finds a 73-year-old female client unconscious on the floor next to the bed. An incident report must be filled out. What is the best statement for the nurse to write on the incident report?

Correct Answer: B

Rationale: The incident report should state objective findings: 'Client was found unresponsive on floor next to the bed.' Speculative statements (slipped, attempted to ambulate) are inappropriate.

Question 4 of 5

The nurse is supervising a student nurse on the oncology unit who is providing care for a client with neutropenic precautions. Which action by the student nurse requires intervention by the supervising nurse?

Correct Answer: C

Rationale: Potted plants pose an infection risk (e.g., mold) for neutropenic clients and are prohibited. Other actions are appropriate.

Question 5 of 5

What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

Correct Answer: A

Rationale: Glomerulonephritis often causes hypertension due to fluid retention and renal dysfunction.

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