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Questions 149

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Extract:


Question 1 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: essential if client is to perform ADLs

Question 2 of 5

The nurse is preparing to deliver an infusion of vancomycin through a client's peripherally inserted central catheter (PICC). Shortly after the infusion begins the IV pumps beeps, indicating a blockage. How should the nurse proceed? Select all that apply.

Correct Answer: B, D, F

Rationale: Notifying the PICC nurse, repositioning the arm, and gently flushing with a 10 mL syringe (saline or tPA as ordered) are appropriate. Aggressive flushing or small syringes risk damage, and a peripheral IV is unnecessary.

Question 3 of 5

When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

Correct Answer: C

Rationale: Elevating the hips relieves pressure on the prolapsed cord, maintaining fetal oxygenation.

Question 4 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 5 of 5

A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:

Correct Answer: B

Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.

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