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Question 1 of 5

A 16-year-old student has a long history of bronchial asthma and has experienced several severe asthmatic attacks during the school year. The school nurse is required to administer 0.2 mL of 1/1000 solution of epinephrine SC during an asthma attack. How does the school nurse evaluate the effectiveness of this intervention?

Correct Answer: C

Rationale: A side effect of epinephrine is fatal ventricular fibrillation owing to its effects on cardiac stimulation. Medications used to treat asthma are designed to decrease bronchospasm, not to increase expectorate of secretions. Epinephrine decreased inspiratory difficulty by stimulating α-, β1, and β2-receptors causing sympathomimetic stimulation (e.g., bronchodilation). The person with asthma fights to inspire sufficient air thus increasing respiratory rate.

Question 2 of 5

A client with a history of a thyroidectomy is receiving Synthroid (levothyroxine). The nurse should teach the client to:

Correct Answer: D

Rationale: Palpitations may indicate levothyroxine overdose, requiring medical attention. It’s taken in the morning, iodine foods are not an issue, and weight loss (not gain) is more common.

Question 3 of 5

A client is being monitored using a central venous pressure monitor. If the CVP is 1 cm of water, the nurse should:

Correct Answer: A

Rationale: A CVP of 1 cm of water (normal range 2–8 mmHg or 3–10 cm H2O) is low, suggesting hypovolemia or decreased venous return. The nurse should notify the physician immediately for further evaluation and possible fluid administration.

Question 4 of 5

A terrorist attack has left hundreds of patients with injuries determined to be in the immediate category as defined by NATO. The color to designate this group is:

Correct Answer: C

Rationale: In NATO triage the immediate category (requiring urgent intervention to survive) is designated by red. Black indicates deceased or expectant yellow is delayed and green is minimal.

Question 5 of 5

The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?

Correct Answer: B

Rationale: A high-calorie, low-fat diet supports recovery from pancreatitis by reducing pancreatic stimulation while meeting energy needs. High-fat diets exacerbate symptoms, and low-calorie diets are inadequate.

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Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of menses for 3 months. Her vital signs are BP 90/50, P 96 bpm, respirations 30, and temperature 97 F. She admits to the nurse that she has induced vomiting 3 times this morning, but she had to continue exercising to lose 'just 5 more lb.' Her symptoms are consistent with:
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