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Questions 149

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Question 1 of 5

A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:

Correct Answer: B

Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.

Question 2 of 5

The client has an order for Claforan 665 mg. The directions say to reconstitute with 10 mL of bacteriostatic water to yield a concentration of 95 mg/mL. How many milliliters of solution should the nurse administer to give the dose of 665 mg?

Correct Answer: 7 mL

Rationale: Dose: 665 mg. Concentration: 95 mg/mL. Volume: 665 mg ÷ 95 mg/mL = 7 mL.

Question 3 of 5

A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?

Correct Answer: B

Rationale: Pancreatitis can cause nausea and vomiting, and a Levine tube (nasogastric tube) is often used to decompress the stomach and prevent aspiration, which is a priority in the ICU setting.

Question 4 of 5

The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:

Correct Answer: B

Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.

Question 5 of 5

The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

Correct Answer: C

Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.

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