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Question 1 of 5

A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose of this medication and notify the physician if which of the following is observed on the cardiac monitor?

Correct Answer: D

Rationale: prolongation of the QT interval is a side effect that can lead to torsades de pointes, a life-threatening arrhythmia

Question 2 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: essential if client is to perform ADLs

Question 3 of 5

The nurse is caring for a client who is 14 weeks pregnant. The client is asking about vaccinations that can be given during pregnancy. Which of the following vaccines does the nurse tell the client that are safe during pregnancy?

Correct Answer: D

Rationale: The influenza vaccine is safe and recommended during pregnancy. Mumps, measles, and smallpox vaccines are contraindicated.

Question 4 of 5

The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

Correct Answer: B

Rationale: Hypersomnolence is an expected side effect of magnesium sulfate due to its central nervous system depressant effects.

Question 5 of 5

A client is admitted with suspected Legionnaires' disease. Which factor increases the risk of developing Legionnaires' disease?

Correct Answer: A

Rationale: Steroid use increases the risk of Legionnaires' disease by suppressing the immune system, making individuals more susceptible to Legionella infection.

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A client is scheduled for a colposcopy. The nurse assists the client into which position?
Before administering a client's morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to:
A client is admitted with suspected acute pancreatitis. Which lab finding confirms the diagnosis?

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