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Questions 149

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Extract:


Question 1 of 5

A client with severe anemia is to receive a unit of whole blood. In the event of a transfusion reaction, the first action by the nurse should be to:

Correct Answer: B

Rationale: Stopping the transfusion and maintaining an IV of normal saline is the first action to prevent further reaction and stabilize the client.

Question 2 of 5

A dexamethasone-suppression test has been ordered for a client with severe depression. The purpose of the dexamethasone suppression test is to:

Correct Answer: B

Rationale: The dexamethasone suppression test assesses cortisol suppression to evaluate hypothalamic-pituitary-adrenal axis dysfunction, aiding in diagnosing severe depression.

Question 3 of 5

The nurse is reviewing a new client's medication orders. Which order would prompt the nurse to notify the health care provider?

Correct Answer: C

Rationale: A 50 mg dose of warfarin is unusually high and likely a dosing error, requiring provider clarification. Other orders are within typical ranges.

Question 4 of 5

A client sustained a severe head injury to the occipital lobe. The nurse should carefully assess the client for:

Correct Answer: A

Rationale: The occipital lobe processes visual information, so injury to this area is likely to cause visual disturbances, such as blurred vision or visual field deficits.

Question 5 of 5

The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

Correct Answer: D

Rationale: Paresthesia of the fingers suggests possible nerve compression or compartment syndrome, which requires immediate reporting to the doctor.

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