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Questions 160

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Extract:


Question 1 of 5

A client with a history of migraines reports an impending headache. Which nursing intervention is most appropriate?

Correct Answer: B

Rationale: A quiet, dark environment reduces stimuli that trigger or worsen migraines.

Question 2 of 5

A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?

Correct Answer: A

Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.

Question 3 of 5

If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?

Correct Answer: A

Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.

Question 4 of 5

After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?

Correct Answer: B

Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.

Question 5 of 5

A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor closely?

Correct Answer: B

Rationale: Hydrochlorothiazide can cause hypokalemia; monitoring potassium levels is essential.

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