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Questions 164

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Extract:


Question 1 of 5

An adolescent client is admitted in respiratory alkalosis following aspirin overdose. The nurse recognizes that this imbalance was caused by

Correct Answer: A

Rationale: Tachypnea. Stimulation of respiratory center leads to hyperventilation, thus decreasing CO2 levels which causes respiratory alkalosis.

Question 2 of 5

In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school age child for evaluation?

Correct Answer: C

Rationale: Bed wetting. In children, fatigue and bed wetting are the chief complaints that prompt parents to take their child for evaluation. Bed wetting in a school age child is readily detected by the parents.

Question 3 of 5

The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply.

Correct Answer: A,B,D

Rationale: MRSA, C. difficile, and VRE require contact precautions due to direct contact transmission. Pertussis and influenza require droplet precautions.

Question 4 of 5

Which of the following symptoms is associated with exacerbation of multiple sclerosis?

Correct Answer: C

Rationale: Diplopia (double vision) is a common symptom during multiple sclerosis exacerbations, resulting from demyelination affecting the optic nerves or brainstem.

Extract:

Laboratory results

Hematocrit
Male: 42%-52%)
(0.42-0.52)

Female: 37%-47%
(0.37-0.47) 45%
(0.45)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)

Female: 12.0-16.0 g/dL
(120-160 g/L) 15 g/dL
(150 g/L)
INR
0.8-1.1 1.3
Platelets
150,000-400,000/mm3
(150-400 × 109/L) 295,000/mm3
(295 × 109/L)


Question 5 of 5

A client is scheduled for an elective laparoscopic prostatectomy in the morning. The practical nurse should notify the registered nurse about which of the following assessment data as soon as possible before surgery?

Correct Answer: D

Rationale: A temperature of 100.4 F with cough suggests a possible infection, which could contraindicate surgery due to increased risk of complications.

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