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Questions 149

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Question 1 of 5

A 22-year-old pregnant client is diagnosed with autoimmune hemolytic anemia. The nurse anticipates immediate treatment with

Correct Answer: E

Rationale: Autoimmune hemolytic anemia in pregnancy is typically treated with corticosteroids or IVIG (containing IgG), but IgG alone isn’t administered. None of the options are correct.

Question 2 of 5

The physician has ordered a low-potassium diet for a client with acute glomerulonephritis. Which snack is suitable for the client with potassium restrictions?

Correct Answer: A

Rationale: Raisins are lower in potassium compared to oranges, apricots, and bananas, making them suitable for a low-potassium diet.

Question 3 of 5

Damage to the VII cranial nerve results in:

Correct Answer: C

Rationale: The VII cranial nerve (facial nerve) controls facial muscles; damage causes facial paralysis, affecting eye movement (e.g., inability to close the eye).

Question 4 of 5

The client has a nitroprusside drip infusing at 0.3 mcg/kg/min. The concentration is 50 mg nitroprusside in 250 mL D5W. The client weighs 70 kg. What will the IV infusion rate be?

Correct Answer: 6.3 mL/hr

Rationale:
To calculate: 0.3 mcg/kg/min × 70 kg = 21 mcg/min. Concentration is 50 mg/250 mL = 200 mcg/mL. Rate = 21 mcg/min ÷ 200 mcg/mL = 0.105 mL/min × 60 min/hr = 6.3 mL/hr.

Question 5 of 5

The nurse is inserting an intravenous line into the right arm and has identified a potential insertion site. Place the steps (indicated in Roman numerals) of venipuncture in the proper sequential order.

Order the Items

Source Container

Palpate vein.
Cleanse skin
Apply tourniquet.
Perform venipuncture.

Correct Answer: C,A,B,D

Rationale: Venipuncture sequence: Apply tourniquet (III), palpate vein (I), cleanse skin (II), perform venipuncture (IV).

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