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Questions 149

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Question 1 of 5

A client with a T5 spinal cord injury suddenly begins sweating profusely in the face and neck. Vital signs reveal sudden bradycardia and significant increase in blood pressure. Which is the priority nursing action?

Correct Answer: C

Rationale: These symptoms indicate autonomic dysreflexia, often triggered by bladder distention in spinal cord injuries above T6. Checking and relieving bladder distention is the priority.

Question 2 of 5

The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?

Correct Answer: B

Rationale: A high-calorie, low-fat diet is suitable post-acute pancreatitis to support recovery while minimizing pancreatic stimulation.

Question 3 of 5

The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

Correct Answer: B

Rationale: Lisinopril and furosemide are commonly used together for hypertension, as they have complementary effects, so administering them is appropriate.

Question 4 of 5

The nurse is caring for a client who has stage 3 lung cancer and is in renal failure. The client indicates that he does not wish to have life-sustaining treatment and wants to die a natural death. What document does the nurse anticipate this client completing? Fill in the blank.

Correct Answer: B

Rationale: Living Will (
B) is the correct answer, as it documents a client’s preferences for medical treatment, such as refusing life-sustaining measures, aligning with the client’s wish to die naturally without such interventions.

Question 5 of 5

The nurse is caring for a client with suspected AIDS dementia complex. The first sign of dementia in the client with AIDS is:

Correct Answer: B

Rationale: Loss of concentration is an early cognitive change in AIDS dementia complex.

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