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Questions 164

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Question 1 of 5

Before giving furosemide (Lasix) to an adult, the nurse checks the laboratory report for the last serum potassium level. Which finding would be of concern to the nurse?

Correct Answer: A

Rationale: A potassium level of 3.2 mEq/L is low, concerning with furosemide, which can further deplete potassium, risking arrhythmias.

Question 2 of 5

The nurse is reinforcing teaching on self-administering ophthalmic lubricating ointment medication to a client with newly diagnosed Sjogren's syndrome. Which client statement indicates the need for further teaching?

Correct Answer: A

Rationale: Rubbing the eyes after applying ointment (
A) can cause irritation or displace the medication, indicating a need for further teaching. The other statements (B, C,
D) reflect correct administration techniques.

Question 3 of 5

The nurse cares for a client diagnosed with Addison disease. Which clinical finding would the nurse anticipate?

Correct Answer: D

Rationale: Addison disease causes weight loss (
D) due to cortisol deficiency. Acanthosis nigricans (
A), hirsutism (
B), and truncal obesity (
C) are associated with other endocrine disorders.

Question 4 of 5

A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test. What is the best action by the charge nurse to handle this situation?

Correct Answer: D

Rationale: Verifying the glucose result personally (
D) provides evidence of falsification. Asking a client (
A) is unreliable, a staff meeting (
B) is too general, and a warning (
C) is premature without proof.

Question 5 of 5

The mother of a newborn asks why the nurse is checking the baby's nose. The nurse replies that it is important to check nasal patency because the newborn:

Correct Answer: B

Rationale: Newborns are obligate nose breathers, making nasal patency critical to prevent respiratory distress. Sneezing ability, apnea, or rapid respirations are unrelated.

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