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Question 1 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

Question 2 of 5

The physician has prescribed Cyclogel (cyclopentolate hydrochloride) drops for a client following a scleral buckling. The nurse knows that the purpose of the medication is to:

Correct Answer: A

Rationale: Cyclopentolate is a cycloplegic that paralyzes the ciliary muscle, resting the muscles of accommodation.

Question 3 of 5

Which clinical manifestation during the actual bone marrow transplantation alerts you to the possibility of an adverse reaction?

Correct Answer: D

Rationale: Shortness of breath during bone marrow transplantation may indicate an anaphylactic or transfusion reaction, requiring immediate intervention.

Question 4 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment to prevent deterioration.

Question 5 of 5

The nurse is observing a student nurse administer a client's medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?

Correct Answer: F

Rationale: All listed actions are correct for NG medication administration. No intervention is needed.

Similar Questions

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? Select all that apply.
The nurse is caring for a client whose native language is Korean; he speaks only a few words of English. The health care provider has determined that the client needs to undergo a coronary artery bypass graft. Which is the appropriate action by the nurse?
A client's lab results have just come in. The nurse reviews the electrolytes and contacts the health care provider regarding which result?
A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client's glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?
A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?

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