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Questions 149

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Extract:


Question 1 of 5

A client who experienced a cardiac arrest and resuscitation is exhibiting characteristics of mild anoxic brain injury. Which of the following characteristics does the nurse expect her to exhibit? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Mild anoxic brain injury may cause decreased concentration (
A), memory impairment (
C), decreased balance (E), and restlessness (F). Seizures (
B) and semicomatose state (
D) are more typical of severe injury.

Question 2 of 5

The nurse is obtaining a history on an 80-year-old client. Which statement made by the client might indicate a potential for fluid and electrolyte imbalance?

Correct Answer: B

Rationale: Frequent laxative use can lead to dehydration and electrolyte imbalances due to excessive fluid and electrolyte loss through diarrhea.

Question 3 of 5

A client admitted with gastroenteritis and a potassium level of 2.9 mEq/dL has been placed on telemetry. Which ECG finding would the nurse expect to find due to the client's potassium results?

Correct Answer: A

Rationale: Hypokalemia (2.9 mEq/dL) can cause a depressed ST segment, flattened T waves, and prominent U waves on ECG due to altered cardiac repolarization.

Question 4 of 5

The physician has ordered a serum aminophylline level for a client with chronic obstructive lung disease. The nurse knows that the therapeutic range for aminophylline is:

Correct Answer: D

Rationale: The therapeutic range for aminophylline is 10-20 micrograms/mL to effectively manage symptoms of chronic obstructive lung disease.

Question 5 of 5

The nurse is reviewing a new client's medication orders. Which order would prompt the nurse to notify the health care provider?

Correct Answer: C

Rationale: A 50 mg dose of warfarin is unusually high and likely a dosing error, requiring provider clarification. Other orders are within typical ranges.

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