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Question 1 of 5

A client in cardiac arrest shows to be in torsades de pointes, and magnesium sulfate is ordered STAT. The priority nursing intervention is

Correct Answer: A

Rationale: Magnesium sulfate for torsades de pointes can cause bradycardia and respiratory depression, requiring close monitoring.

Question 2 of 5

A client with Addison's disease has been receiving glucocorticoid therapy. Which finding indicates a need for dosage adjustment?

Correct Answer: C

Rationale: A weight gain of 6 pounds in a week suggests fluid retention, indicating possible overdosage of glucocorticoids, requiring adjustment.

Question 3 of 5

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

Correct Answer: A

Rationale: indication that the client is approaching delirium tremens, which can be avoided with additional sedation

Question 4 of 5

A client has a tentative diagnosis of myasthenia gravis. The nurse recognizes that myasthenia gravis involves:

Correct Answer: B

Rationale: Myasthenia gravis is an autoimmune disorder causing impaired nerve-to-muscle communication, leading to muscle weakness, particularly in voluntary muscles.

Question 5 of 5

Following insertion of a nasogastric (NG) tube, the nurse aspirates the gastric contents to check the pH to determine if the NG tube is correctly placed. Which of the following pH values is consistent with gastric secretions?

Correct Answer: D

Rationale: Gastric secretions typically have a pH of 1.5-3.5, so a pH of 4 (
D) is consistent with correct NG tube placement in the stomach. Higher pH values (A, B,
C) suggest placement in the intestines or respiratory tract.

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