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Questions 149

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Question 1 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 2 of 5

A nurse has received report on the day's clients. In planning morning rounds, which client is the priority to see?

Correct Answer: D

Rationale: Shortness of breath indicates a potential respiratory or cardiac issue, making this client the priority for immediate assessment.

Question 3 of 5

A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?

Correct Answer: A

Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.

Question 4 of 5

A client is being treated with internal radiation (brachytherapy). The nurse explains to the client that

Correct Answer: C

Rationale: Brachytherapy requires distance precautions; visitors must stay 6 feet away to minimize radiation exposure. Gowns/masks are not needed, visitors are allowed, and gifts do not become radioactive.

Question 5 of 5

A child is admitted to the emergency room following ingestion of a bottle of Children's Tylenol. The nurse is aware that Tylenol poisoning is treated with:

Correct Answer: A

Rationale: Acetylcysteine is the antidote for acetaminophen (Tylenol) overdose, protecting the liver from toxicity.

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