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Questions 148

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Question 1 of 5

A client is admitted with a blood alcohol level of 180 mg/dL. The nurse recognizes that the alcohol in the client's system should be fully metabolized within:

Correct Answer: D

Rationale: A blood alcohol level of 180 mg/dL (0.18%) typically takes about 9 hours to metabolize, assuming a metabolism rate of 0.02% per hour.

Question 2 of 5

The initial assessment of a newborn reveals a chest circumference of 34 cm and an abdominal circumference of 31 cm. The chest is asymmetrical and breath sounds are diminished on the left side. The nurse should give priority to:

Correct Answer: A

Rationale: Diminished breath sounds and chest asymmetry suggest a respiratory issue, such as pneumothorax, requiring immediate supplemental oxygen.

Question 3 of 5

The client with a recent liver transplant asks the nurse how long he will have to take an immunosuppressant. Which response would be correct?

Correct Answer: D

Rationale: Lifelong immunosuppression is required post-transplant to prevent organ rejection.

Question 4 of 5

The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?

Correct Answer: A

Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.

Question 5 of 5

A burn client begins treatments with silver sulfadiazine (Silvadene) applied to the wounds. The nurse should carefully monitor for which adverse affect associated with this drug?

Correct Answer: B

Rationale: Silver sulfadiazine can cause leukopenia as an adverse effect, requiring monitoring of white blood cell counts to detect potential bone marrow suppression.

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