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Extract:


Question 1 of 5

A patient is prescribed digoxin for heart failure. Which of the following findings should prompt the nurse to withhold the medication and notify the healthcare provider?

Correct Answer: A

Rationale: Digoxin slows heart rate, and a rate below 60 beats per minute indicates potential toxicity or bradycardia, requiring withholding the dose and provider notification. Other findings are within normal limits or unrelated.

Question 2 of 5

A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:

Correct Answer: B

Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.

Extract:

Twenty-four hours following burn accident, Johnny was given Morphine Sulfate to control his pain.


Question 3 of 5

Which of the following parameters should the nurse utilize to accurately measure the client's response to drug therapy?

Correct Answer: B

Rationale: The pain scale provides an objective measure of pain intensity, assessing morphine's effectiveness.

Extract:

Jane is a 30-year-old white female who presents to the neurology clinic with 2-year-history of progressive visual disturbance, emotional lability, impaired coordination, extremity weakness and aching, and dizziness. She says that she notices the symptoms more on very warm days and just after going to the gym.


Question 4 of 5

Given Jane's history, the most likely diagnosis is:

Correct Answer: A

Rationale: Progressive symptoms exacerbated by heat and exercise are characteristic of multiple sclerosis.

Extract:


Question 5 of 5

A patient is prescribed digoxin for heart failure. Which of the following findings should prompt the nurse to withhold the medication and notify the healthcare provider?

Correct Answer: A

Rationale: Digoxin slows heart rate, and a rate below 60 beats per minute indicates potential toxicity or bradycardia, requiring withholding the dose and provider notification. Other findings are within normal limits or unrelated.

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