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Questions 149

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Extract:


Question 1 of 5

While reviewing the chart of a client with a history of hepatitis B, the nurse finds a serologic marker of HBsAg. The nurse recognizes that the client:

Correct Answer: A

Rationale: Presence of HBsAg indicates active hepatitis B infection, either acute or chronic, and potential infectivity.

Question 2 of 5

A diabetic client self-administers insulin four times daily. Which of the following statements by the client indicates the need for further education?

Correct Answer: A

Rationale: Flushing needles down the toilet (
A) is unsafe and improper disposal; needles should be placed in a sharps container. Carrying glucose tablets (
B), occasional desserts (
C), and avoiding sandals (
D) are appropriate for diabetes management.

Question 3 of 5

A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

Correct Answer: D

Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.

Question 4 of 5

The nurse is preparing to administer a dose of morphine sulfate to a client with postoperative pain. The client’s respiratory rate is 10 breaths per minute. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: a respiratory rate of 10 breaths per minute is low, and morphine can further depress respiration, so the dose should be withheld

Question 5 of 5

The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for

Correct Answer: A

Rationale: standard, unchanging procedure

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