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Questions 176

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Question 1 of 5

A client has chronic obstructive pulmonary disease exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse finds bilateral diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?

Correct Answer: D

Rationale: A Venturi mask (
D) delivers precise oxygen concentrations, ideal for COPD exacerbation to avoid hypercapnia. Nasal cannula (
A), non-rebreathing mask (
B), and Oxymizer (
C) are less precise.

Question 2 of 5

The nurse is caring for a client receiving chemotherapy. The client is prescribed filgrastim to improve the function of the immune system. Which finding does the nurse anticipate in response to the medication?

Correct Answer: C

Rationale: Filgrastim stimulates neutrophil production, so an increase in neutrophil count (
C) is expected. It does not affect uric acid (
A), hemoglobin (
B), or platelets (
D).

Question 3 of 5

The nurse reinforces education to the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription of methylphenidate. Which statement by the parent best demonstrates that teaching has been effective?

Correct Answer: C

Rationale: Taking methylphenidate before 6:00 PM (
C) prevents sleep disruption, indicating effective teaching. Diet changes (
A), self-management (
B), and no monitoring (
D) are incorrect or incomplete.

Question 4 of 5

The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?

Correct Answer: B

Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.

Question 5 of 5

Which finding by the nurse suggests that the mother is not giving the toddler iron supplements as ordered?

Correct Answer: B

Rationale: Iron supplements typically cause dark or black stools; light brown stools suggest non-compliance with iron supplementation.

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