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Questions 149

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Extract:


Question 1 of 5

A client who has just undergone a laparoscopic cholecystectomy complains of 'free air pain.' What would be your best action?

Correct Answer: A

Rationale: Free air pain' after laparoscopic cholecystectomy is due to residual carbon dioxide in the abdomen. Ambulation helps disperse the gas and relieve pain.

Question 2 of 5

The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:

Correct Answer: B

Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.

Question 3 of 5

The nurse is preparing to administer a dose of lisinopril (Zestril) to a client with hypertension. The client’s blood pressure is 100/60 mmHg. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: lisinopril is an ACE inhibitor

Question 4 of 5

The nurse is preparing to test a client who has the herpes virus. Which of the following tests should the nurse perform?

Correct Answer: C

Rationale: The Tzanck test is used to diagnose herpes virus infections by examining cells from a lesion for characteristic changes.

Question 5 of 5

A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?

Correct Answer: D

Rationale: Cor pulmonale, right heart failure from lung disease, causes edema of the lower extremities and distended neck veins due to increased venous pressure.

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