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Questions 158

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Question 1 of 5

Before administering Theo-Dur (theophylline), the nurse should check the patient's:

Correct Answer: C

Rationale: Theophylline, a bronchodilator, can cause tachycardia. Checking the pulse before administration ensures the patient is not at risk for adverse cardiac effects. Urinary output, blood pressure, and temperature are less directly affected.

Question 2 of 5

The physician has prescribed Zyvox (linezolid) for a patient with VRE. The concurrent use of which medication may result in serotonin syndrome?

Correct Answer: B

Rationale: Linezolid, a monoamine oxidase inhibitor, can cause serotonin syndrome when combined with SSRIs like Zoloft (sertraline), due to excessive serotonin accumulation. Nexium, Lipitor, and Zyrtec do not interact in this way.

Question 3 of 5

The nurse is caring for a client with a history of sickle cell anemia. Which intervention is most important during a sickle cell crisis?

Correct Answer: A

Rationale: Sickle cell crisis causes vaso-occlusion, reducing tissue oxygenation. Administering oxygen is the priority to prevent hypoxia. Cold packs worsen vasoconstriction, rest is secondary, and antibiotics are for infections.

Question 4 of 5

Hematotympanum and otorrhea are associated with which of the following head injuries?

Correct Answer: A

Rationale: Basilar skull fractures are fractures of the base of the skull. Blood behind the eardrum or blood or cerebrospinal fluid (CSF) leaking from the ear are indicative of a dural laceration. Basilar skull fractures are the only type with these symptoms.

Question 5 of 5

The nurse is caring for a client with diabetes mellitus. Which instruction should be given to the client?

Correct Answer: D

Rationale: Numbness and tingling in the feet and toes may indicate diabetic neuropathy a serious complication requiring prompt reporting. Avoiding stairs reducing sodium or daily weighing are not specific to diabetes management unless indicated.

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