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Questions 149

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Question 1 of 5

A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?

Correct Answer: B

Rationale: is an antiparkinsonian agent, used to counteract extrapyramidal side effects the client is experiencing

Question 2 of 5

Twenty micrograms (g) are equal to how many milligrams? Record your answer using a decimal number.

Correct Answer: 0.02

Rationale: 1 mg = 1,000 g, so 20 /1,000 = 0.02 mg.

Question 3 of 5

A client receiving high doses of hydromorphone (Dilaudid®) develops acute respiratory depression with a drop in blood pressure. Which of the following treatments is most indicated?

Correct Answer: A

Rationale: Naloxone (
A) reverses opioid-induced respiratory depression. Naproxen (
B), flumazenil (
C), and nortriptyline (
D) are not appropriate.

Question 4 of 5

The nurse recognizes all of the following as type IV hypersensitivity reactions EXCEPT

Correct Answer: D

Rationale: Type IV hypersensitivity is cell-mediated (e.g., contact dermatitis, Crohn’s, GVH
D). Penicillin allergy is typically type I (IgE-mediated).

Question 5 of 5

The nurse is conducting a physical examination of a client's abdomen. Place the examination techniques listed below (Roman numerals) in the correct sequence, from first to last.

Order the Items

Source Container

Percussion
Palpation
Inspection
Auscultation

Correct Answer: C,D,A,B

Rationale: Abdominal exam sequence: Inspection (III) first, then auscultation (IV) before percussion (I) and palpation (II) to avoid altering bowel sounds.

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