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Questions 149

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Question 1 of 5

Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell's traction?

Correct Answer: B

Rationale: A 12-year-old male with a similar condition provides age-appropriate companionship and shared care needs.

Question 2 of 5

The nurse is caring for a 16-year-old female with second- and third-degree burns to the face, neck, chest, and arms. The client's wounds are almost healed. The nurse would expect rehabilitation to focus on problems related to:

Correct Answer: A

Rationale: Burns to visible areas like the face and neck can significantly impact body image, especially in a teenager, making this a priority during rehabilitation as wounds heal.

Question 3 of 5

The nurse is caring for the client following a thyroidectomy when suddenly the client becomes nonresponsive and pale, with a BP of 60 systolic. The nurse's initial action should be to:

Correct Answer: B

Rationale: Increasing normal saline infusion addresses hypovolemic shock, likely due to post-thyroidectomy hemorrhage, as the priority action.

Question 4 of 5

Upon entering the client's room the nurse discovers a dose of amoxicillin at the bedside. Which of the following should the nurse do?

Correct Answer: A

Rationale: Documenting in the medical record and filing an incident report address the medication error and ensure follow-up for patient safety.

Question 5 of 5

The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25 mL. The nurse should:

Correct Answer: A

Rationale: For infants, volumes greater than 1 mL should be divided and administered in separate sites, such as each vastus lateralis, to reduce discomfort and ensure absorption.

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