Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?

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Question 1 of 5

Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?

Correct Answer: D

Rationale: The young adult with acetaminophen overdose should stay during an internal disaster. Day 2 is critical for liver damage risk, per toxicology, needing monitoring. Sepsis , MI , and colitis are more stable. D prioritizes acute risk.

Question 2 of 5

Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?

Correct Answer: D

Rationale: Ensuring patency prevents complications like obstruction or aspiration during feeding.

Question 3 of 5

In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain control should be questioned by the nurse?

Correct Answer: A

Rationale: Demerol (meperidine) is avoided in sickle cell crises due to risk of normeperidine accumulation and seizures.

Question 4 of 5

The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed?

Correct Answer: C

Rationale: Inconsistent timing reduces antibiotic efficacy, risking treatment failure.

Question 5 of 5

A newly admitted client has a diagnosis of depression. She complains of “twitching muscles” and a “racing heart”, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?

Correct Answer: C

Rationale: Switching from an SSRI (Zoloft) to an MAOI (Parnate) without a washout period risks serotonin syndrome, with mental status changes as a key sign.

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