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Questions 164

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Extract:


Question 1 of 5

An elderly client is severely dehydrated. Which is the best way to assess the effectiveness of fluid restoration therapy?

Correct Answer: B

Rationale: Daily weights provide an objective measure of fluid restoration, as 1 kg approximates 1 L of fluid. Skin turgor is less reliable in elders, thirst is subjective, and intake alone doesn't confirm absorption.

Question 2 of 5

The clinic nurse is reinforcing teaching to a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed?

Correct Answer: D

Rationale: Antacids reduce levothyroxine absorption, requiring further teaching. Blood monitoring , lifelong use , and morning dosing are correct.

Extract:

Laboratory reference ranges
WBCs
5000–10,000/mm3
(5–10 × 109/L)
Hemoglobin
Male: 14.0–18.0 g/dL
(140–180 g/L)

Female: 12.0–16.0 g/dL
(120–160 g/L)


Question 3 of 5

Which client incident would be classified as an adverse event that requires an incident/event/irregular occurrence/variance report? Select all that apply.

Correct Answer: B,D,E

Rationale: Medication error , failure to report hemoglobin , and failure to notify about blood culture are reportable adverse events. Sepsis death and vaccine refusal are not necessarily preventable errors.

Extract:

Laboratory reference ranges
Hematocrit
39%-59%
(0.39-0.59)


Question 4 of 5

The nurse is collecting data from a 2-week-old client who has tetralogy of Fallot. Which of the following findings would be a priority to follow up?

Correct Answer: C

Rationale: Elevated hematocrit indicates polycythemia, a serious complication of tetralogy of Fallot. Knee-chest relief , weight gain , and murmurs are expected.

Extract:


Question 5 of 5

The nurse is caring for a client who has a prescription for furosemide 1 mg/kg PO every 8 hours. The client weighs 44 lb (20 kg). The nurse has furosemide oral solution 10 mg/mL available. How many mL should the nurse administer to the client with each dose? Record your answer using a whole number.

Correct Answer: B

Rationale: Dose: 1 mg/kg × 20 kg = 20 mg. Solution: 20 mg ÷ 10 mg/mL = 2 mL .

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