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Questions 148

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Extract:


Question 1 of 5

Which assignment should not be performed by the nursing assistant?

Correct Answer: D

Rationale: Administering an enema is an invasive procedure requiring clinical judgment, which is beyond the scope of a nursing assistant's responsibilities.

Question 2 of 5

The nurse is caring for a client who was admitted to the burn unit 4 hours after the injury with second-degree burns to the trunk and head. Which finding would the nurse least expect to find during this time period?

Correct Answer: C

Rationale: Hypernatremia is least expected within 4 hours of a burn injury, as fluid shifts typically cause hyponatremia due to third-spacing. Hypovolemia, laryngeal edema, and hyperkalemia are common early findings.

Question 3 of 5

If the nurse is providing education to a male client who is HIV positive, which of the following information should the nurse include? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: HIV education includes condoms (
A), disclosing status (
B), monitoring symptoms (
C), healthy lifestyle (
D), and support groups (E) to manage disease and prevent transmission.

Question 4 of 5

A client has suffered a severe electrical burn. Which medication would the nurse expect to have ordered for application to the burned area?

Correct Answer: D

Rationale: Silver sulfadiazine (Silvadene) is commonly used for electrical burns due to its broad-spectrum antimicrobial properties and soothing effect on burn wounds.

Question 5 of 5

Which of the following signs and symptoms would a nurse expect when examining a 22-year-old female with secondary syphilis?

Correct Answer: C

Rationale: Secondary syphilis presents with a non-itchy rash, often on the palms and soles. Chancres are primary syphilis, and skin tumors are tertiary syphilis.

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