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Questions 149

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Question 1 of 5

An RN notices an LPN in the medication room drawing up morphine. The RN asks the LPN who it is for. The LPN states that one of her clients needs pain medication. The RN offers to administer the dose, but the LPN says, 'It's ok. I can give it. I've had this client for several days and she is stable.' Which is the correct response by the nurse?

Correct Answer: C

Rationale: LPNs typically cannot administer IV narcotics like morphine in most states due to scope of practice limitations. The RN should report this to the charge nurse for clarification and safety.

Question 2 of 5

Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives?

Correct Answer: B

Rationale: Antibiotics can reduce the effectiveness of oral contraceptives, necessitating an alternate method.

Question 3 of 5

A client has been diagnosed with glossopharyngeal neuralgia. The nurse will expect the client to

Correct Answer: D

Rationale: Glossopharyngeal neuralgia causes severe pain in the throat, ears, tongue, and tonsils due to irritation of the ninth cranial nerve.

Question 4 of 5

Which laboratory test is used to identify injury to the myocardium and can remain elevated for up to 3 weeks?

Correct Answer: D

Rationale: Troponin T or I is highly specific for myocardial injury and can remain elevated for up to 2-3 weeks, making it the best marker for detecting cardiac damage.

Question 5 of 5

A nurse is caring for a client with a myocardial infarction. The nurse recognizes that the most common complication in the client following a myocardial infarction is:

Correct Answer: B

Rationale: Cardiac dysrhythmias are the most common complication following a myocardial infarction due to ischemia affecting the heart's electrical conduction system, leading to arrhythmias like ventricular tachycardia or fibrillation.

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