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Questions 148

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Question 1 of 5

An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best?

Correct Answer: C

Rationale: This response encourages the client to express her concerns, allowing the nurse to address specific fears and provide tailored support.

Question 2 of 5

The nurse is working on the cardiac unit with a client scheduled to receive digitalis. The nurse understands that which finding is a contraindication for this medication? Select all that apply.

Correct Answer: A,D,E

Rationale: AV block, sick sinus syndrome, and Wolff-Parkinson-White syndrome are contraindications for digitalis due to the risk of worsening conduction abnormalities. Atrial flutter and fibrillation are indications.

Question 3 of 5

A client scheduled for a cardiac catheterization tells the nurse, 'My mother died during this same procedure 10 years ago. I'm afraid the same thing will happen to me.' Which of the following responses by the nurse is the most appropriate?

Correct Answer: A

Rationale: Acknowledging the client’s fear and discussing the procedure provides reassurance and addresses concerns therapeutically.

Question 4 of 5

A.ls with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

Correct Answer: D

Rationale: Leucovorin calcium is given as a rescue therapy to reverse the toxic effects of trimetrexate, protecting healthy cells from damage.

Question 5 of 5

A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

Correct Answer: D

Rationale: Absence seizures cause brief lapses in consciousness, often appearing as staring spells, without motor symptoms.

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