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A nurse is preparing to administer the first dose of cefazolin via intermittent Ivrder and refuses to take their medication. Which of the following nurse take first?

Assess the IV for patency.

Check the compatibility of cefazolin with the client's existing IV fluids.

Review the client's allergy history.

Obtain the reconstituted antibiotic from the pharmacy.

Answer and Explanation

The Correct Answer is C

A. Assessing IV patency is important but comes after confirming the client is not allergic.

B. Checking compatibility ensures safe administration but is not the first priority.

C. Reviewing the client's allergy history is the priority to prevent a potentially life-threatening allergic reaction.

D. Obtaining the medication is necessary but only after confirming it is safe for the client.

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Correct Answer is B

Explanation

A. Socialization can promote trust and reduce isolation, so limiting socialization is not beneficial.

B. Speaking in a neutral tone helps build trust and reduces perceived threats in clients with paranoid personality disorder, who may be suspicious of others' intentions.

C. Consistency in caregivers fosters trust, so rotating staff frequently may exacerbate the client's paranoia.

D. Mixing medication with food without the client's knowledge breaches trust and ethical guidelines.

A. A client who has a fracture and is in balance suspension traction. B. A client who is bedridden and wears a hearing aid. C. A client who is ambulatory and receiving oxygen. D. A client who uses a wheelchair and is confused.

Correct Answer is C

Explanation

A. A client in balance suspension traction requires more time and assistance, making them a lower priority.

B. A bedridden client requires significant help and is less mobile, lowering their priority.

C. A client who is ambulatory and receiving oxygen is at risk of immediate danger if the oxygen supply poses a fire hazard. They can be evacuated quickly and independently.

D. A client in a wheelchair and confused may require more time and resources for evacuation.

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A nurse is preparing to administer the first dose of cefazolin via intermittent Ivrder and refuses to take their medication. Which of the following nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

Correct Answer is C

Explanation

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