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Extract:


Question 1 of 5

A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

Correct Answer: D

Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.

Extract:

The patient with ascites has a paracentesis and 1500 ml of fluid is removed.


Question 2 of 5

Immediately following the procedure it is most important for the nurse to observe for:

Correct Answer: A

Rationale: A rapid, thready pulse indicates hypovolemia or shock post-paracentesis, a critical complication.

Extract:


Question 3 of 5

The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Using the defrost setting on a microwave prevents overheating formula, but the temperature must be checked. Partially used bottles should be discarded after 4 hours, formula is mixed 1:1, and adding new formula to used bottles risks contamination. Health Promotion and Maintenance

Extract:

Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.


Question 4 of 5

As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:

Correct Answer: C

Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.

Extract:

One of the following is not a symptom of the patient with right sided heart failure:


Question 5 of 5

Weight gain

Correct Answer: C

Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.

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