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Questions 149

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Extract:


Question 1 of 5

A nurse has received report on the day's clients. In planning morning rounds, which client is the priority to see?

Correct Answer: D

Rationale: Shortness of breath indicates a potential respiratory or cardiac issue, making this client the priority for immediate assessment.

Question 2 of 5

The client is having a cardiac catheterization. During the procedure, the client tells the nurse, 'I'm feeling really hot.' Which response would be best?

Correct Answer: B

Rationale: A warm sensation is a normal response to the injection of contrast dye during cardiac catheterization.

Question 3 of 5

The doctor has ordered 80 mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5 meq/L. The nurse should:

Correct Answer: D

Rationale: A potassium level of 2.5 mEq/L is dangerously low; withholding Lasix and notifying the doctor prevents further potassium loss.

Question 4 of 5

The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:

Correct Answer: B

Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.

Question 5 of 5

Which client is at greatest risk for complications following abdominal surgery?

Correct Answer: A

Rationale: Obesity and diabetes increase the risk of surgical complications like infection and poor wound healing.

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