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Question 1 of 5

A client with acute alcohol intoxication is being treated for hypomagnesemia. During assessment of the client, the nurse would expect to find:

Correct Answer: D

Rationale: Hypomagnesemia can cause a positive Trousseau's sign, indicating neuromuscular irritability due to low magnesium levels.

Question 2 of 5

The physician has ordered a lumbar puncture for a client with suspected Guillain-Barre syndrome. The spinal fluid of a client with Guillain-Barre syndrome typically shows:

Correct Answer: B

Rationale: Guillain-Barre syndrome typically shows elevated protein levels in cerebrospinal fluid with a normal cell count, known as albuminocytologic dissociation.

Question 3 of 5

When preparing a client for magnetic resonance imaging, the nurse should implement which of the following?

Correct Answer: C

Rationale: MRI safety requires removing jewelry and screening for metal implants to prevent injury from magnetic fields. The other actions are unnecessary or incorrect.

Question 4 of 5

An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client

Correct Answer: A

Rationale: check vital signs every 15 minutes until stable, assess for respiratory difficulty (stridor and dyspnea resulting from laryngeal edema or laryngospasm)

Question 5 of 5

Ideally, the first dose of what vaccine is given at birth?

Correct Answer: D

Rationale: The hepatitis B vaccine is recommended at birth to prevent perinatal transmission and establish early immunity.

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The nurse is caring for a 9-year-old child admitted with asthma. Upon the morning rounds, the nurse finds an O2 sat of 78%. Which of the following actions should the nurse take first?
A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg three times daily. The nurse should instruct the client to report which of the following side effects to the physician?
A client scheduled for a cardiac catheterization tells the nurse, 'My mother died during this same procedure 10 years ago. I'm afraid the same thing will happen to me.' Which of the following responses by the nurse is the most appropriate?
The home health nurse is visiting a client who plans to deliver her baby at home. Which statement by the client indicates an understanding regarding screening for phenylketonuria (PKU)?
A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:

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