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Questions 149

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Question 1 of 5

A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 88%. The nurse's first intervention is to

Correct Answer: B

Rationale: Hypoxemia (SpO2 88%) requires immediate oxygen administration to improve oxygenation, which is the priority for chest pain before further assessment or intervention.

Question 2 of 5

The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?

Correct Answer: A

Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.

Question 3 of 5

When providing care for a client with pancreatitis, the nurse would anticipate which of the following orders?

Correct Answer: B

Rationale: Pancreatitis often requires an NG tube with suction to reduce gastric secretions and pancreatic stimulation, aiding in symptom management.

Question 4 of 5

A client has an order for Demerol 75 mg and atropine 0.4 mg IM as a preoperative medication. The Demerol vial contains 50 mg/mL, and atropine is available 0.4 mg/mL. How many milliliters will the nurse administer in total?

Correct Answer: C

Rationale: Demerol: 75 mg ÷ 50 mg/mL = 1.5 mL. Atropine: 0.4 mg ÷ 0.4 mg/mL = 1 mL.
Total = 1.5 mL + 1 mL = 2.5 mL.

Question 5 of 5

The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

Correct Answer: D

Rationale: Iridium seeds emit low-level, localized radiation, posing minimal risk to a pregnant nurse.

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