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Questions 148

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Question 1 of 5

A client is in acute postoperative pain, and the physician orders 85 mg of meperidine (Demerol®) stat. The vial contains 100 mg in 2 mL. How many milliliters should the nurse administer? Record your answer using a decimal number.

Correct Answer: 1.7

Rationale: Dose = 85 mg, concentration = 100 mg/2 mL = 50 mg/mL. Volume = 85 m/50 mg/mL = 1.7 mL.

Question 2 of 5

An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?

Correct Answer: D

Rationale: A femoral neck fracture typically causes shortening of the affected leg due to muscle contraction pulling the bone fragments together, along with external rotation and limited movement.

Question 3 of 5

A client with a head injury develops syndrome of inappropriate antidiuretic hormone (SIADH). Which physician prescription would the nurse question?

Correct Answer: A

Rationale: D5W at 200 mL/hr is inappropriate for SIADH, as it can worsen hyponatremia by adding free water. The other options are appropriate for monitoring and treating SIADH.

Question 4 of 5

The nurse is caring for a client with end-stage kidney disease. The client says, 'I have decided that I don't want any more dialysis or treatments. This is just prolonging the inevitable.' The nurse responds, 'You have every right to do so. I will notify the nephrologist of your wishes.' Which ethical principle is being demonstrated by the nurse?

Correct Answer: C

Rationale: Respecting the client’s decision to refuse treatment demonstrates autonomy, prioritizing their right to self-determination.

Question 5 of 5

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

Correct Answer: B

Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication processing.

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