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Questions 227

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Extract:


Question 1 of 5

An adult is to have a paracentesis performed today. What should the nurse do before the procedure?

Correct Answer: B

Rationale: Emptying the bladder before paracentesis prevents accidental puncture of the bladder during needle insertion into the abdominal cavity. Fluid intake, NPO status, or premedication are not immediate pre-procedure priorities.

Question 2 of 5

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

Correct Answer: B

Rationale:
Tolbutamide, an oral hypoglycemic, is effective for type 2 diabetes patients who produce minimal insulin, stimulating insulin release. Type 1 diabetics (
A) produce no insulin, injection inability (
C) is irrelevant, and low blood glucose (
D) is not an indication for tolbutamide.

Extract:

Loss of peripheral vascular resistance:


Question 3 of 5

Loss of peripheral vascular resistance:

Correct Answer: A

Rationale: Loss of peripheral vascular resistance leads to hypotension due to vasodilation.

Extract:

Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:


Question 4 of 5

The nurse should act independently to prevent this complication by:

Correct Answer: C

Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.

Extract:


Question 5 of 5

The nurse is preparing to discharge a client who is receiving Nardil (phenelzine). The nurse should tell the client to:

Correct Answer: B

Rationale: Drug interactions between an MAOI and pseudoephedrine can result in hypertensive crisis. Answer A refers to the client receiving antipsychotic medications such as Thorazine, so it is incorrect. Answers C and D do not apply to MAOIs, so they are incorrect.

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