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Questions 149

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Question 1 of 5

A client's serum sodium level is 113 mEq/L. The nurse would expect which findings upon assessment?

Correct Answer: A

Rationale: Severe hyponatremia (113 mEq/L) causes neurological symptoms like headache, confusion, muscle weakness, and fatigue due to cerebral edema.

Question 2 of 5

The physician has ordered Pentam (pentamidine) IV for a client with pneumocystis carinii. While receiving the medication, the nurse should carefully monitor the client's:

Correct Answer: A

Rationale: Pentamidine can cause hypotension, so blood pressure monitoring is critical during administration.

Question 3 of 5

A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer: D

Rationale: Acyclovir can cause nephrotoxicity, so encouraging fluids is critical to prevent kidney damage.

Question 4 of 5

The doctor has ordered the removal of a Davol drain. Which of the following instructions should the nurse give to the client before removing the drain?

Correct Answer: C

Rationale: Holding the breath during Davol drain removal prevents air entry into the pleural space, reducing the risk of pneumothorax.

Question 5 of 5

An operating room nurse just received a client scheduled for a laparoscopic cholecystectomy, but discovers the consent form has not been signed. What is the most appropriate action?

Correct Answer: B

Rationale: Missing consent requires notifying the surgeon to ensure the client is informed and consents before proceeding, adhering to legal and ethical standards.

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