If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?

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Question 1 of 5

If a very active two year-old client pulls his tunneled central venous catheter out, what initial nursing action is appropriate?

Correct Answer: C

Rationale: Prevents bleeding from the site; pressure is the immediate priority to control hemorrhage.

Question 2 of 5

A post-operative client has a prescription for acetaminophen with codeine. What should the nurse recognizes as a primary effect of this combination?

Correct Answer: A

Rationale: Combining acetaminophen and codeine enhances analgesia through synergistic effects.

Question 3 of 5

The nurse is applying silver sulfadiazine (Silvadene) to a child with severe burns to arms and legs. Which side effect should the nurse be monitoring for?

Correct Answer: D

Rationale: Sulfa drugs can crystallize in urine, risking renal damage.

Question 4 of 5

A 5 year-old has been rushed to the emergency room several hours after acetaminophen poisoning. Which laboratory result should receive attention by the nurse?

Correct Answer: C

Rationale: Elevated bilirubin indicates liver damage, a critical concern in acetaminophen overdose.

Question 5 of 5

The provider has ordered transdermal nitroglycerin patches for a client. Which of these instructions should be included when teaching a client about how to use the patches?

Correct Answer: B

Rationale: Non-hairy areas ensure proper adhesion and absorption; other options are incorrect.

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