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Questions 149

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Question 1 of 5

Which client is at greatest risk for complications following abdominal surgery?

Correct Answer: A

Rationale: Obesity and diabetes increase the risk of surgical complications like infection and poor wound healing.

Question 2 of 5

Which of the following is a core measure set developed by the Joint Commission?

Correct Answer: D

Rationale: Heart failure is a Joint Commission core measure set, focusing on improving care quality for common conditions. The others are not core measures.

Question 3 of 5

A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

Correct Answer: A

Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.

Question 4 of 5

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

Correct Answer: B

Rationale: oral hypoglycemic agents are administered to type II (non-insulindependent) clients who are able to produce minimal amounts of insulin

Question 5 of 5

All of the following are parts of the middle ear EXCEPT the

Correct Answer: A

Rationale: The middle ear includes the incus, stapes, and malleus (ossicles). The pinna is part of the outer ear.

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The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:
A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?

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