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Question 1 of 5

A home health nurse is visiting a client who is receiving diuretic therapy for congestive heart failure. Which medication places the client at risk for the development of hypokalemia?

Correct Answer: B

Rationale: Demadex, a loop diuretic, causes potassium loss, increasing the risk of hypokalemia, unlike potassium-sparing diuretics like Aldactone.

Question 2 of 5

The nurse is caring for a client who is postoperative day 1 following a mastectomy. The client refuses to look at the surgical site or participate in wound care teaching. Which of the following actions by the nurse is MOST appropriate?

Correct Answer: A

Rationale: encouraging the client to express feelings promotes coping and addresses potential body image concerns

Question 3 of 5

The physician has ordered Vancocin (vancomycin) 500 mg IV every 6 hours for a client with MRSA. The medication should be administered:

Correct Answer: D

Rationale: Vancomycin should be infused over at least 60 minutes to prevent adverse reactions such as red man syndrome.

Question 4 of 5

A 51-year-old client received a kidney transplant. Which of the following signs and symptoms indicates possible rejection of the kidney? Select all that apply.

Correct Answer: B,C,D

Rationale: Kidney rejection causes hypertension (
B), fluid retention (weight gain,
C), and graft pain (
D). Decreased urine output (not increased) and elevated creatinine (not decreased) are typical.

Question 5 of 5

Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

Correct Answer: C

Rationale: Immunosuppressants, such as cyclosporine, prevent the immune system from forming antibodies against the transplanted heart.

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