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Questions 149

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Question 1 of 5

A client with an esophageal tamponade develops symptoms of respiratory distress, including inspiratory stridor. The nurse should give priority to:

Correct Answer: B

Rationale: Respiratory distress with stridor suggests airway obstruction from the tamponade, requiring immediate tube removal after deflation to restore airway patency.

Question 2 of 5

The client taking Glyburide (Diabeta) should be cautioned to:

Correct Answer: D

Rationale: Daily glucose monitoring is essential for clients on Glyburide to manage blood sugar levels effectively.

Question 3 of 5

A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The dysrhythmia most commonly seen during suctioning is:

Correct Answer: A

Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation.

Question 4 of 5

The client is taking prednisone 7.5 mg po each morning to treat his systemic lupus erythematosis. Which statement best explains the reason for taking the prednisone in the morning?

Correct Answer: D

Rationale: Morning dosing aligns with the body's natural cortisol peak, minimizing adrenal suppression.

Question 5 of 5

The complete blood count of a client admitted with anemia reveals that the red blood cells are hypochromic and microcytic. The nurse recognizes that the client has:

Correct Answer: B

Rationale: Hypochromic, microcytic red blood cells are characteristic of iron-deficiency anemia, caused by insufficient iron for hemoglobin synthesis.

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