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Questions 149

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Question 1 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 2 of 5

A pediatric client is admitted to the hospital for treatment of diarrhea caused by an infection with salmonella. Which of the following most likely contributed to the child's illness?

Correct Answer: B

Rationale: Turtles are common carriers of Salmonella, which can be transmitted to children through handling, leading to gastrointestinal infection.

Question 3 of 5

A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

Correct Answer: B

Rationale: A papular lesion on the perineum during labor could indicate an infectious process (e.g., herpes), so reporting it to the doctor is the most appropriate initial action.

Question 4 of 5

After the physician performs an amniotomy, the nurse's first action should be to assess the:

Correct Answer: B

Rationale: Post-amniotomy, assessing fetal heart tones is critical to detect potential cord prolapse or distress.

Question 5 of 5

The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

Correct Answer: A

Rationale: Mydriatics are used to dilate the pupil, facilitating lens removal during cataract surgery.

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