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Questions 148

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Question 1 of 5

A patient is rushed to the emergency room after being found unconscious at home. His blood pressure is 70/35. The nurse anticipates an order for what medication?

Correct Answer: E

Rationale: For severe hypotension (BP 70/35), vasopressors like norepinephrine or dopamine are typically ordered to restore perfusion, but none of the listed options are vasopressors. The question may be flawed.

Question 2 of 5

The RN is making assignments on a 12-bed unit. Staff consists of one RN and two certified nursing assistants. Which client should be self-assigned?

Correct Answer: B

Rationale: New-onset hemoptysis in a chest trauma client indicates potential serious complications (e.g., pulmonary hemorrhage) requiring RN assessment and intervention.

Question 3 of 5

A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

Correct Answer: B

Rationale: Chest pain may indicate a cardiovascular side effect of Celebrex, requiring immediate reporting.

Question 4 of 5

A woman is receiving outpatient treatment at a mental health center. She starts crying and tells the nurse her husband has filed for divorce. The best response from the nurse is

Correct Answer: D

Rationale: An open-ended response like 'Tell me what happened' encourages the client to express feelings, fostering therapeutic communication.

Question 5 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

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