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Extract:

The nurse is caring for patients on the surgical floor and has just received report from the previous shift.


Question 1 of 5

Which of the following patients should the nurse see FIRST?

Correct Answer: D

Rationale: Strategy: Think ABCs. (1) does not indicate acute bleeding, small amount of blood (2) expected outcome (3) indicates resolution (4) correct-risk for peritonitis, should be assessed for further symptoms of infection

Extract:


Question 2 of 5

Which of the following nursing approaches would be MOST appropriate to use while administering an oral medication to a four-month-old?

Correct Answer: B

Rationale: is a convenient method for administering medications to an infant

Question 3 of 5

The nurse is caring for a client with a history of hypothyroidism.

Correct Answer: B

Rationale: Cold intolerance and fatigue are classic symptoms of hypothyroidism due to slowed metabolism. Weight loss, tachycardia, and diarrhea are associated with hyperthyroidism.

Extract:

Twenty-four hours after abdominal surgery.


Question 4 of 5

Which of the following plans would be a nursing priority to prevent complications of flatulence?

Correct Answer: D

Rationale: Strategy: Answers are all implementations. Determine the outcome of each answer choice. Is it desired? (1) increasing carbonated beverages will increase flatus (2) will prevent postoperative complications, but not flatulence (3) does not address flatulence (4) correct-will increase peristalsis, decreasing the development of flatus

Extract:


Question 5 of 5

During the removal of a radium implant, it is MOST important for the nurse to take which of the following actions?

Correct Answer: C

Rationale: important that accurate documentation be maintained on the internal radium implant

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