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Questions 158

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Extract:


Question 1 of 5

A client with a history of epilepsy is admitted with status epilepticus. The nurse should give priority to:

Correct Answer: B

Rationale: In status epilepticus, prolonged seizures can obstruct the airway, so protecting the airway is the priority to ensure oxygenation and prevent asphyxia.

Question 2 of 5

A client with a history of a stroke is being discharged. The client’s wife asks the nurse how long it will take for her husband to regain his speech. The nurse’s response is based on the knowledge that:

Correct Answer: B

Rationale: Most speech recovery post-stroke occurs within the first 6 months, though progress can continue with therapy. Recovery varies, but 6 months is a key period for significant improvement.

Question 3 of 5

Before administering Theo-Dur (theophylline), the nurse should check the patient's:

Correct Answer: C

Rationale: Theophylline, a bronchodilator, can cause tachycardia. Checking the pulse before administration ensures the patient is not at risk for adverse cardiac effects. Urinary output, blood pressure, and temperature are less directly affected.

Question 4 of 5

A client with a history of epilepsy is admitted with status epilepticus. The nurse should give priority to:

Correct Answer: B

Rationale: In status epilepticus, prolonged seizures can obstruct the airway, so protecting the airway is the priority to ensure oxygenation and prevent asphyxia.

Question 5 of 5

The nurse is caring for a client with a history of peripheral artery disease. The nurse should expect the client to have:

Correct Answer: A

Rationale: Peripheral artery disease reduces blood flow, causing intermittent claudication (leg pain with activity) due to muscle ischemia.

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