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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following is an early sign that suctioning is required for a client with a tracheostomy?

A. Bradycardia

B. Irritability

C. Confusion

D. Hypotension

Expert Explanatory Rationale

Correct Answer: Irritability

Question 2 of 5

Which intervention is essential when caring for a client with heart failure on fluid restriction?

A. Encourage the client to drink water throughout the day

B. Monitor the client's weight daily to assess fluid balance

C. Limit fluid intake during meals

D. Weigh the client once a week to assess fluid balance

Expert Explanatory Rationale

Correct Answer: Monitor the client's weight daily to assess fluid balance

Question 3 of 5

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following actions should the nurse take?

A. Request a renewal of the prescription every 8 hours.

B. Check the client's peripheral pulse rate every 30 minutes.

C. Obtain a prescription for restraint within 4 hours.

D. Document the client's condition every 15 minutes.

Expert Explanatory Rationale

Correct Answer: Document the client's condition every 15 minutes.

Question 4 of 5

A client with a new prescription for prednisone for the treatment of Addison's disease needs teaching. Which instruction should the nurse include?

A. Take the medication with food

B. Avoid taking aspirin

C. Schedule a bone density test

D. Expect increased appetite

Expert Explanatory Rationale

Correct Answer: Schedule a bone density test

Question 5 of 5

What is the priority when managing a client with a chest tube postoperatively?

A. Clamp the chest tube for 30 minutes every 4 hours

B. Check for air leaks and proper functioning of the chest tube

C. Encourage deep breathing and coughing every 2 hours

D. Encourage frequent coughing to clear secretions

Expert Explanatory Rationale

Correct Answer: Check for air leaks and proper functioning of the chest tube

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