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Questions 160

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Question 1 of 5

Which assessment finding best indicates that Bryant's traction is applied properly to a small child?

Correct Answer: C

Rationale: Bryant's traction for pediatric femoral fractures requires the child's buttocks to be slightly elevated off the mattress to maintain proper alignment and traction force.

Question 2 of 5

A friend shares with a nurse about being engaged to be married. The nurse knows that the friend's fiancé has tested positive for human immunodeficiency virus (HIV). What is the nurse legally obligated to do?

Correct Answer: D

Rationale: HIPAA mandates confidentiality of the fiancé's HIV status, requiring the nurse to safeguard this information.

Question 3 of 5

If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?

Correct Answer: A

Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.

Question 4 of 5

A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?

Correct Answer: D

Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.

Question 5 of 5

When developing the care plan of a client who has a nasogastric (NG) tube for gastric decompression, which nursing order should be modified because it is considered unsafe?

Correct Answer: A

Rationale: Liberal fluid intake is unsafe for a client with an NG tube for decompression, as it may increase gastric contents and risk aspiration.

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