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Question 1 of 5

While reading the progress notes on a client with cancer, the nurse notes a TNM classification of T1, N1, M0. What does this classification indicate?

Correct Answer: D

Rationale: T1 indicates a small tumor, N1 indicates regional lymph node involvement, and M0 indicates no distant metastasis. This matches choice D.

Question 2 of 5

What airborne precautions should the nurse anticipate when a client with measles is admitted to the hospital? Select all that apply.

Correct Answer: C,D

Rationale: Measles requires airborne precautions, including a negative pressure room (
C) and an N-95 respirator (
D). Surgical masks (
A) are insufficient, and dedicated entrances (E) are not standard. Client masking during transport (
B) is recommended but not always mandatory.

Question 3 of 5

The physician has ordered sodium warfarin for the client with thrombophlebitis. The order should be entered to administer the medication at:

Correct Answer: C

Rationale: Warfarin is typically given in the late afternoon to align with INR monitoring.

Question 4 of 5

A triage nurse is reviewing messages from four clients. The nurse's priority is which client?

Correct Answer: B

Rationale: Jaw and back pain intensifying rapidly in a 42-year-old female suggests a possible myocardial infarction, a life-threatening emergency requiring immediate attention.

Question 5 of 5

The home health nurse is planning for the day's visits. Which client should be seen first?

Correct Answer: C

Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.

Similar Questions

The physician orders the removal of an in-dwelling catheter the second postoperative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:
A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:
A client arrives from surgery following an abdominal perineal resection with a permanent ileostomy. What should be the priority nursing care during the post-op period?
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:

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