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Question 1 of 5

A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?

Correct Answer: C

Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.

Question 2 of 5

The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?

Correct Answer: D

Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.

Question 3 of 5

The Doctor writes for a medication that is in oral suspension. The order reads to administer 50 mg by mouth every 4 hours as needed for pain. You're dispended with a bottle that reads 25 mg/2 mL. How many teaspoons per dose will you administer?

Correct Answer: C

Rationale: 50 mg ÷ 25 mg/2 mL = 4 mL. 4 mL ÷ 5 mL/tsp = 0.8 tsp. Other options are incorrect conversions.

Question 4 of 5

The nurse is caring for clients in the GYN clinic. A client at 28-weeks gestation states that she occasionally leaks urine when she coughs or sneezes. Which of the following actions by the nurse is BEST?

Correct Answer: A

Rationale: Urine leakage during coughing or sneezing at 28 weeks gestation suggests stress incontinence, common due to pelvic pressure. Kegel exercises strengthen pelvic floor muscles, improving control. A urine specimen (
B) is unnecessary without infection signs, leakage is not ‘expected’ (
C), and specialist referral (
D) is premature.

Question 5 of 5

A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

Correct Answer: A

Rationale: Naloxone reverses opioid-induced respiratory depression and somnolence by antagonizing opioid receptors. The other medications have different indications and do not address opioid overdose. Pharmacological Therapies

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