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Questions 149

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Question 1 of 5

A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, which can cause diabetes insipidus-like symptoms, requiring immediate attention.

Question 2 of 5

During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?

Correct Answer: D

Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.

Question 3 of 5

The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:

Correct Answer: D

Rationale: Checking the site for bleeding ensures early detection of hematoma or excessive bleeding post-heparin injection.

Question 4 of 5

The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?

Correct Answer: C

Rationale: A hemoglobin of 7 gm indicates significant blood loss, requiring immediate physician notification.

Question 5 of 5

Using Naegele's rule for estimating the due date for a pregnancy, if a client's last menstrual cycle started on September 6 and ended September 10, when is the client's approximate due date?

Correct Answer: C

Rationale: Naegele's rule: September 6 + 7 days = September 13, + 9 months = June 13, 2014. Closest is June 10 (
C), adjusting for approximation.

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