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Extract:


Question 1 of 5

A 14-month-old is receiving Digoxin (Lanoxin) and Lasix (Furosemide) twice a day. In planning his care, the nurse should assess for which complication?

Correct Answer: A

Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in clients taking digoxin, as it increases digoxin toxicity risk.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

Question 3 of 5

A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, 'I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers.' The nurse's initial intervention should be what focus?

Correct Answer: B

Rationale: Set time aside to get the mother to express her feelings and concerns. This facilitates understanding and resolution of her concerns.

Question 4 of 5

Which is an expected finding in the normal newborn?

Correct Answer: B

Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.

Extract:

The patient with ascites has a paracentesis and 1500 ml of fluid is removed.


Question 5 of 5

Immediately following the procedure it is most important for the nurse to observe for:

Correct Answer: A

Rationale: A rapid, thready pulse indicates hypovolemia or shock post-paracentesis, a critical complication.

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