The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?

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Question 1 of 5

The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?

Correct Answer: C

Rationale: Respiratory rate of 32 requires immediate attention in DVT. Tachypnea suggests pulmonary embolism, per vascular nursing. Fever indicates infection, pulse is normal, and BP is concerning but secondary. C prioritizes life-threatening complications.

Question 2 of 5

The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?

Correct Answer: D

Rationale: Placing the client in a negative pressure room with masks is the priority for active TB. Airborne isolation prevents droplet spread, per CDC guidelines. Coughing (A, B) and handwashing are secondary. D controls transmission effectively.

Question 3 of 5

A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to

Correct Answer: D

Rationale: Placing hands or a blanket under the head is most important during a seizure. It prevents injury, per epilepsy care standards, a priority in tonic-clonic events. Moving objects , noting , and privacy follow. D ensures immediate safety.

Question 4 of 5

The nurse is caring for a client with a chest tube. On the second postoperative day, the chest tube accidentally disconnects from the drainage tube. The first action the nurse should take is

Correct Answer: D

Rationale: Clamping prevents air entry into the pleural space, reducing pneumothorax risk until the system is reconnected.

Question 5 of 5

A client is waiting to have an intravenous pyelogram (IVP). The most important information to be obtained by the nurse prior to the procedure is

Correct Answer: B

Rationale: Allergies to iodine or shellfish contraindicate IVP contrast, preventing severe reactions.

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