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Extract:


Question 1 of 5

A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose if which of the following was observed?

Correct Answer: B

Rationale: Procainamide treats ventricular and atrial arrhythmias, but severe hypotension is an adverse reaction requiring the dose to be withheld. PVCs (
A) and atrial tachycardia (
C) are indications for use, and a normal sedimentation rate (
D) is irrelevant.

Question 2 of 5

Which of the following terms refers to soft-tissue injury caused by blunt force?

Correct Answer: A

Rationale: A contusion is a soft-tissue injury from blunt force, causing swelling and discoloration without breaking the skin. Strains and sprains involve ligaments or muscles, and dislocation affects joints. Physiological Adaptation

Extract:

A newly diagnosed HIV patient is in your care. The patient has a positive PPD result of 5 mm induration and a normal CXR.


Question 3 of 5

Which of the following represents preferred treatment of this patient?

Correct Answer: A

Rationale: INH with pyridoxine is the standard treatment for latent TB in HIV patients with a positive PPD.

Extract:

Priority nursing diagnosis on the patient who was admitted with acute renal failure


Question 4 of 5

Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:

Correct Answer: C

Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.

Extract:


Question 5 of 5

The nurse is caring for a 10-year-old child who has classic hemophilia. He is admitted with a swollen right knee that is very painful. The nurse should plan to include which of the following as a priority in the care of this child upon admission?

Correct Answer: C

Rationale: A bed cradle keeps bedding off the painful, swollen knee (hemarthrosis), reducing discomfort, a priority in acute hemophilia management.

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