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HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 41 pages. Originally published on StudyMerit.

Pages
41
Academic year
2025/2026
Language
English

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1.After placement of a left subclavian central venous catheter (CVC), the nurse receives report of the x - ray findings that indicate the CVC tip is in the client's superior vena cava. Which action should the nurse implement? A.Initiate intravenous fluid as prescribed . B.Notify the HCP of the need to reposition the catheter. C.Remove the catheter and apply direct pressure for 5 minutes. D.Secure the catheter using aseptic technique. Answer: A. Rationale: Venous blood return to the heart drains from the subcla vian vein into the superior vena cava. The X - ray findings indicate proper placement of the CVC, so the prescribed intravenous fluid can be started . 2.The nurse has received funding to design a health promotion project for African - American women who are at risk for developing breast cancer. Which resource is most important in designing this program? A.A listing of African - American women who live in the community. B.Participation of community leaders in planning the program . C.Morbidity data for breast canc er in women of all races. D.Technical assistance to produce a video on breast self - examination. Answer: B. Rationale: When developing a culturally - competent health promotion project, the participation of stakeholders and

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community leaders is most important to ensure the program is relevant and accepted by the target population . 3.The home care nurse provides self - care instruction for a client with chronic venous insufÏciency caused by deep vein thrombosis. Which instructions should the nurse include in the client's discharge teaching plan? Select all that apply. A.Avoid prolonged standing or sitting. B.Use a recliner for long periods of sitting. C.Continue wearing elastic stockings. D.Maintain the bed flat while sleeping. E.Cross legs at the knee but not at the ankle. Answers: A, B, C. Rationale: For venous insufÏciency, interventions to promote venous return include avoiding prolonged standing/sitting (A), elevating the legs while sitting (B), and wearing compression stock ings (C). The bed should be elevated at the head, not flat, and crossing legs at any point should be avoided as it impedes circulation . 4.A client with schizophrenia is exhibiting behaviors. Which client behavior requires immediate intervention? A.Lip sma cking and frequent eye blinking. B.ShufÒing gait and stooped posture. C.Rocks back and forth in the chair. D.Muscle spasms of the back and neck.

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Answer: D. Rationale: Muscle spasms of the back and neck are symptoms of an acute dystonic reaction, an extrapyramidal symptom (EPS) that requires immediate intervention because it can cause laryngeal spasms and jeopardize the airway .

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