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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.

Extract:

Which of the following activities will be appropriate on the patient who was 7 - days post above-the-knee amputation?


Question 2 of 5

Muscle exercises

Correct Answer: A

Rationale: Muscle exercises promote strength and circulation, aiding recovery post-amputation.

Extract:

Mrs. Byron rushes into the ER carrying 2-year-old Amanda in her arms. She thrusts a half-empty bottle of aspirin at the nurse and states that he saw Amanda eating them just 30 minutes earlier. After confirming that Amanda had eaten at least six tablets of aspirin


Question 3 of 5

The nurse should

Correct Answer: B

Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption.

Extract:

The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.


Question 4 of 5

The most appropriate first nursing action is:

Correct Answer: A

Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent further complications.

Extract:


Question 5 of 5

In a child with suspected coarctation of the aorta, the nurse would expect to find

Correct Answer: D

Rationale: Bounding pulses in the arms. Coarctation causes increased blood flow and pressure in the upper extremities.

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