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Questions 227

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Extract:


Question 1 of 5

An IV is infusing at 30 gtt/min. If the drop factor is 20 gtt/mL, what would this rate of flow equal in mL/h?

Correct Answer: D

Rationale: (30 gtt/min ÷ 20 gtt/mL) × 60 min/h = 90 mL/h. Other options are incorrect calculations.

Question 2 of 5

The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.

Correct Answer: A,C

Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.

Question 3 of 5

The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?

Correct Answer: B

Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.

Extract:

Danielle Knetchel, 32 years old, experiences diarrhea after eating in the restaurant. She went to the clinic and the physician prescribed anti-diarrheal drug, a narcotic that causes dryness of the mouth.


Question 4 of 5

Which of the following drugs was given to Danielle?

Correct Answer: D

Rationale: Lomotil, a narcotic antidiarrheal, causes dry mouth as a side effect.

Extract:


Question 5 of 5

The nurse is caring for a client with a history of multiple sclerosis. Which of the following interventions should the nurse prioritize?

Correct Answer: B

Rationale: A cool environment prevents symptom exacerbation in multiple sclerosis, as heat worsens neurological symptoms. High-intensity exercise (
A) may cause fatigue, muscle relaxants (
C) depend on symptoms, and fluid restriction (
D) is inappropriate.

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