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Questions 149

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Extract:


Question 1 of 5

All of the following clients are at an increased risk for aspiration pneumonia EXCEPT

Correct Answer: B

Rationale: Aspiration pneumonia risk is high with nasogastric feeding, mechanical ventilation, and dysphagia due to potential airway entry of material.
Total parenteral nutrition (IV) bypasses the airway, reducing aspiration risk.

Question 2 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

Question 3 of 5

If a client's LDL cholesterol is 100, HDL cholesterol is 50, and triglycerides are 150, what is the client's total cholesterol? Record your answer using a whole number.

Correct Answer: 180

Rationale:
Total cholesterol = LDL + HDL + (Triglycerides/ 5) = 100 + 50 + (150/ 5) = 100 + 50 + 30 = 180.

Question 4 of 5

The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:

Correct Answer: C

Rationale: The recommended suction pressure for adult tracheostomy is 80-120 mmHg to effectively remove secretions without causing trauma.

Question 5 of 5

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Correct Answer: C

Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.

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