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Questions 227

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Extract:


Question 1 of 5

A client on telemetry begins having premature ventricular beats (PVBs) at 12 per minute. In reviewing the most recent laboratory results, which would require immediate action by the nurse?

Correct Answer: C

Rationale: The patient is at risk for ventricular dysrhythmias when the potassium level is low.

Question 2 of 5

Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?

Correct Answer: D

Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.

Extract:

Thrombosis in DIC is most likely to affect:


Question 3 of 5

Thrombosis in DIC is most likely to affect:

Correct Answer: D

Rationale: DIC causes microthrombi in small vessels like cutaneous capillaries.

Extract:


Question 4 of 5

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

Correct Answer: D

Rationale: Observe a return demonstration. This is the best way to confirm the client has learned the proper psychomotor skill.

Question 5 of 5

An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should be given to the client?

Correct Answer: C

Rationale: Metformin can cause renal problems, and the contrast dye used in cardiac catheterization is nephrotoxic. The medication should be discontinued before the exam and replaced with insulin temporarily.

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