Questions 150

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Question 1 of 5

A client who had undergone an abdominal hysterectomy is in the recovery room. The surgeon has ordered a 250-mL bolus of normal saline over 1 hour to replace blood loss. The I.V. solution infusing in the client was 1,000 mL normal saline with 40 mEq of potassium chloride at 100 mL/hour. The nurse should: Select all that apply.

Correct Answer: C,E

Rationale: A separate 250-mL bag via Y-connection and infusion pump ensures accurate delivery of the bolus without altering the primary infusion.

Question 2 of 5

Chemical cardioversion is prescribed for the client diagnosed with atrial fibrillation. The nurse who is assisting in preparing the client should expect that which medication specific for chemical cardioversion would be prescribed?

Correct Answer: C

Rationale: Amiodarone is an antidysrhythmic that is useful in restoring normal sinus rhythm for the client experiencing atrial fibrillation. Lidocaine is used for control of ventricular dysrhythmias. Both nifedipine and nitroglycerin are vasodilators and are prescribed for the restoration of a normal sinus rhythm.

Question 3 of 5

A client with a history of type 2 diabetes mellitus is prescribed exenatide (Byetta). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Exenatide can cause pancreatitis, a serious side effect requiring monitoring for symptoms like abdominal pain.

Question 4 of 5

A 13-year-old client is dying of cancer and struggling with the emotional aspects of this. When providing care for this client, the nurse should incorporate the developmental tasks for this age. According to Erikson's developmental model, the child normally is expected to be working on which of the following psychosocial issues?

Correct Answer: A

Rationale: Adolescents (ages 12–18) focus on identity vs. role confusion, developing a sense of self and personal identity.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of hypertension about the DASH diet. Which of the following foods should the nurse recommend?

Correct Answer: B

Rationale: Bananas are rich in potassium and part of the DASH diet, which promotes heart-healthy eating to manage hypertension.

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