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Questions 149

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Extract:


Question 1 of 5

A 15-year-old client is rushed to the ER after taking an entire bottle of acetaminophen (Tylenol) in a suicide attempt. The nurse's priority is obtaining which lab results?

Correct Answer: A

Rationale: Acetaminophen overdose causes hepatotoxicity. AST and ALT levels assess liver damage, which is the priority.

Question 2 of 5

The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:

Correct Answer: A

Rationale: Expressive aphasia, often associated with Broca's area damage, impairs the ability to produce speech and write, while comprehension remains relatively intact.

Question 3 of 5

The physician has ordered increased oral hydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with the removal of renal calculi is:

Correct Answer: D

Rationale: A fluid intake of 200 mL per hour promotes urine output to facilitate stone passage.

Question 4 of 5

The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:

Correct Answer: D

Rationale: Checking the site for bleeding ensures early detection of hematoma or excessive bleeding post-heparin injection.

Question 5 of 5

The nurse is discussing meal planning with the mother of a 2-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

Correct Answer: C

Rationale: Hot dogs pose a choking hazard for a 2-year-old due to their size and texture, requiring further instruction.

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