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Questions 149

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Question 1 of 5

A client receiving Vancocin (vancomycin) has a serum level of 20 mcg/mL. The nurse knows that the therapeutic range for vancomycin is:

Correct Answer: B

Rationale: The therapeutic range for vancomycin is 10-25 mcg/mL, ensuring efficacy while minimizing toxicity; a level of 20 mcg/mL is within this range.

Question 2 of 5

A 3-year-old child had a PPD skin test 2 days ago. When the mother brings the child back to the clinic to have the nurse check the results, the nurse notes a 10 mm area of induration. This is considered

Correct Answer: B

Rationale: A 10 mm induration 48-72 hours post-PPD is positive in children, indicating TB exposure, especially in high-risk groups.

Question 3 of 5

The infant is admitted to the unit with Tetralogy of Fallot. The nurse would anticipate an order for which medication?

Correct Answer: A

Rationale: Digoxin is commonly used in Tetralogy of Fallot to improve cardiac function and manage heart failure symptoms.

Question 4 of 5

A client diagnosed with hepatitis B asks the nurse how the virus is transmitted. Which of the following is the correct response?

Correct Answer: B

Rationale: Hepatitis B is transmitted via blood, sexual contact, needles, and perinatally from mother to newborn.

Question 5 of 5

A primigravida with(choices truncated due to document error; assuming standard options for context) diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor's order should the nurse question?

Correct Answer: B

Rationale: Brethine (terbutaline) is a tocolytic that can exacerbate maternal diabetes by causing hyperglycemia, so this order should be questioned in a diabetic primigravida.

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