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Questions 148

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Question 1 of 5

A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?

Correct Answer: A

Rationale: Third-degree AV block with hypotension (BP 78/40) requires atropine to increase heart rate by blocking vagal activity, improving cardiac output.

Question 2 of 5

The primary cause of anemia in a client with chronic renal failure is:

Correct Answer: D

Rationale: Chronic renal failure reduces erythropoietin production by the kidneys, leading to decreased red blood cell production and anemia.

Question 3 of 5

The physician has ordered nitroglycerin buccal tablets for a client with stable angina. The nurse knows that nitroglycerin:

Correct Answer: B

Rationale: Nitroglycerin dilates coronary blood vessels, improving blood flow to the myocardium and relieving angina.

Question 4 of 5

The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?

Correct Answer: B

Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.

Question 5 of 5

The nurse is reviewing the lab results of a client's arterial blood gases. The $\mathrm{PaCO}_2$ indicates effective functioning of the:

Correct Answer: C

Rationale: PaCO2 reflects lung function, as the lungs regulate carbon dioxide levels through ventilation; abnormal levels indicate respiratory issues.

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