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Questions 149

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Question 1 of 5

A client with osteomylitis has an order for a trough level to be done because he is taking Gentamycin. When should the nurse call the lab to obtain the trough level?

Correct Answer: B

Rationale: Trough levels measure the lowest drug concentration and are drawn just before a dose after steady-state, typically around the fourth dose for Gentamicin.

Question 2 of 5

A public health nurse is preparing an educational handout about rubella, commonly known as measles. All of the following statements should be included in the informational handout EXCEPT

Correct Answer: B

Rationale: Rubella’s incubation period is 12-23 days, not 3-7 days. It spreads via respiratory droplets (coughing/sneezing), not skin-to-skin. Symptoms include fever and rash, but runny nose and cough are more typical of measles.

Question 3 of 5

When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse’s actions during this intervention?

Correct Answer: C

Rationale: the need for restraints is based on patient’s behavioral status and condition, not the patient’s voluntary/involuntary status

Question 4 of 5

The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:

Correct Answer: D

Rationale: Cupped hands during chest percussion create a vibration that helps loosen mucus in cystic fibrosis without causing injury.

Question 5 of 5

The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:

Correct Answer: B

Rationale: Tacrine (Cognex) is associated with hepatotoxicity, and jaundice is a sign of liver dysfunction that should be monitored.

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