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Questions 227

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Extract:


Question 1 of 5

A nurse is caring for a pregnant patient in her third trimester. Which of the following findings should be reported immediately?

Correct Answer: C

Rationale: Severe headache and visual disturbances suggest preeclampsia, a medical emergency. Mild edema, heartburn, and frequent urination are normal in late pregnancy.

Question 2 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

Extract:

A young female patient comes to the physician because she has been experiencing fatigue and double vision. The physician suspects myasthenia gravis.


Question 3 of 5

When obtaining information from the patient, the nurse would expect her to report that:

Correct Answer: D

Rationale: Myasthenia gravis symptoms worsen with activity and are more severe in the evening due to muscle fatigue.

Extract:

The physician orders high protein, high calorie and high salt diet on Valerie.


Question 4 of 5

When ask by the patient, the nurse would explain that

Correct Answer: D

Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.

Extract:


Question 5 of 5

A client with seizure disorder is to receive Dilantin (Phenytoin) and Phenobarbital. The nurse knows that when she administers Phenobarbital and Dilantin (Phenytoin):

Correct Answer: A

Rationale: Phenytoin induces liver enzymes, potentially reducing phenobarbital levels, so a larger dose of phenobarbital may be needed.

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