The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?

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Question 1 of 5

The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?

Correct Answer: C

Rationale: Antihistamines often cause confusion in the elderly due to anticholinergic effects.

Question 2 of 5

The nurse has identified what appears to be ventricular tachycardia on the cardiac monitor of a client being evaluated for possible myocardial infarction. The first action the nurse would perform is to

Correct Answer: D

Rationale: Assessing ABCs confirms VT and patient stability before escalating care.

Question 3 of 5

During the beginning shift assessment of a client with asthma who is receiving oxygen per nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?

Correct Answer: A

Rationale: Pulse oximetry of 89% indicates hypoxemia, a critical concern in asthma requiring immediate attention.

Question 4 of 5

The school nurse is called to the playground for an episode of mouth trauma. The nurse finds that the front tooth of a 9 year old child has been avulsed ('knocked out'). After recovering the tooth, the initial response should be to

Correct Answer: A

Rationale: Rinsing and reimplanting the tooth quickly maximizes the chance of successful reattachment.

Question 5 of 5

The nurse is caring for a 4 year-old child with a greenstick fracture. In explaining this type of fracture to the parents, the best statement by the nurse should be that,

Correct Answer: B

Rationale: Greenstick fractures are incomplete due to the flexibility and porosity of young bones.

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