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Questions 158

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Question 1 of 5

A client with a head injury has an order for dexamethasone (Decadron) 10 mg IV; push every 6 hours. The dose is available Decadron 4 mg/mL. How much will the nurse administer?

Correct Answer: 2.5 mL

Rationale: Dose: 10 mg ÷ 4 mg/mL = 2.5 mL.

Question 2 of 5

The nurse is caring for a client with a recent laparoscopic hemicolectomy. Which finding should be reported to the physician?

Correct Answer: D

Rationale: Increasing abdominal girth post-hemicolectomy may indicate complications like bleeding, ileus, or perforation, requiring immediate physician notification. Sluggish bowel sounds, umbilical pain, and liquid stool are expected early post-op.

Question 3 of 5

Which nursing assessment indicates that involutional changes have occurred in a client who is three days postpartum?

Correct Answer: A

Rationale: A firm fundus three finger widths below the umbilicus by day three postpartum indicates normal uterine involution, as the uterus contracts and descends.

Question 4 of 5

A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:

Correct Answer: D

Rationale: Setting limits assures the client that staff has genuine concern for her safety and well-being. Giving her an actual choice will give the client an increased sense of control over her life and avoid an argument or power struggle.

Question 5 of 5

The nurse is caring for a client with a history of polycystic ovary syndrome. The nurse should expect the client to have:

Correct Answer: A

Rationale: Polycystic ovary syndrome disrupts hormonal balance, leading to irregular menses due to anovulation, a hallmark symptom.

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