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Questions 227

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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.

Extract:

Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.


Question 2 of 5

The nurse should

Correct Answer: C

Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.

Extract:

An elderly female patient sustained a fractured hip from a fall accident while taking her shower. She was brought by the EMS to the hospital and was admitted to orthopedic unit. She was placed on buck's traction while waiting for hip replacement.


Question 3 of 5

Which of the following nursing interventions should receive priority?

Correct Answer: B

Rationale: Hourly neurovascular assessments are critical to detect complications like impaired circulation or nerve damage in the affected leg, especially with traction.

Extract:


Question 4 of 5

An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should be given to the client?

Correct Answer: C

Rationale: Metformin can cause renal problems, and the contrast dye used in cardiac catheterization is nephrotoxic. The medication should be discontinued before the exam and replaced with insulin temporarily.

Extract:

Thrombosis in DIC is most likely to affect:


Question 5 of 5

Thrombosis in DIC is most likely to affect:

Correct Answer: D

Rationale: DIC causes microthrombi in small vessels like cutaneous capillaries.

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