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Questions 157

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Extract:


Question 1 of 5

A client has been diagnosed with congestive heart failure. His fluid intake and output are strictly regulated. For lunch, he drank 8 oz of milk, 4 oz of tea, and 6 oz of coffee. His intake would be recorded as:

Correct Answer: B

Rationale: 1 oz = 30 mL; therefore, 18 oz = 540 mL.

Question 2 of 5

The client is prescribed metronidazole (Flagyl) for a parasitic infection. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Metronidazole commonly causes a metallic taste in the mouth. Hypotension, weight gain, and fever are not typical side effects.

Question 3 of 5

A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:

Correct Answer: A

Rationale: Acute adrenal crisis (Addisonian crisis) causes hypotension due to cortisol and aldosterone deficiency, leading to shock. Pulse is typically rapid, skin is cool, and urination decreases.

Question 4 of 5

The nurse is assessing a client with suspected hypoglycemia. Which finding is most consistent with this condition?

Correct Answer: A

Rationale: Hypoglycemia causes sympathetic activation, leading to tremors and sweating as the body attempts to raise glucose levels. Chest pain, fever, and bradycardia are not typical.

Question 5 of 5

A client with a history of sarcoidosis is admitted with complaints of dyspnea. The nurse should give priority to:

Correct Answer: A

Rationale: Sarcoidosis can cause lung granulomas, leading to dyspnea, so monitoring respiratory status is critical to assess lung function.

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