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Questions 148

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Question 1 of 5

A nurse needs to draw a blood sample from a patient's central line. The line is currently infusing Ringer's lactate. In which order should the nurse take the following steps to draw the blood sample? Number the steps below.

Correct Answer: B,D,C,A,E

Rationale: Order: Stop infusion (
B), scrub hub (
D), withdraw/discard blood (
C), flush with saline (
A), withdraw lab sample (E). This ensures a clean, accurate sample.

Question 2 of 5

The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?

Correct Answer: C

Rationale: TPN's high dextrose content requires glucose monitoring to prevent hyperglycemia.

Question 3 of 5

The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?

Correct Answer: B

Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.

Question 4 of 5

The nurse is preparing to teach a client about the prescribed furosemide (Lasix). The nurse should instruct the client about which adverse effect?

Correct Answer: B

Rationale: Furosemide can cause electrolyte imbalances, such as hypokalemia, leading to leg cramps. Other effects are less common.

Question 5 of 5

The nurse is caring for a client receiving Capoten (captopril). The nurse should be alert for adverse reactions to the drug, which include:

Correct Answer: C

Rationale: Captopril, an ACE inhibitor, can cause agranulocytosis, leading to a decreased white cell count, which should be monitored.

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