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Questions 149

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Extract:


Question 1 of 5

Which clients can be assigned to share a room in the emergency department during the disaster?

Correct Answer: B

Rationale: The pregnant client and the client with a broken arm have stable conditions, making them suitable to share a room.

Question 2 of 5

The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should:

Correct Answer: D

Rationale: Pain in the back or shoulders post-laparoscopic cholecystectomy may indicate referred pain from residual CO2 or complications, requiring prompt reporting.

Question 3 of 5

The nurse has just administered morphine 4 mg IV to a client with severe pain from a kidney stone. The client then asks to get up to the toilet. Which is the correct nursing action for this client?

Correct Answer: B

Rationale: Morphine can cause sedation and dizziness, increasing fall risk. Offering a bedpan or urinal is safer than ambulating to the toilet.

Question 4 of 5

A client sustained a severe head injury to the occipital lobe. The nurse should carefully assess the client for:

Correct Answer: A

Rationale: The occipital lobe processes visual information, so injury to this area is likely to cause visual disturbances, such as blurred vision or visual field deficits.

Question 5 of 5

The nurse is teaching the parents of a client with iron deficiency anemia about administering a liquid oral iron supplement. Which statement by the parents indicates that teaching was successful?

Correct Answer: A

Rationale: Using a straw minimizes tooth staining from liquid iron. Iron is best absorbed on an empty stomach, and milk can decrease absorption.

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