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Questions 148

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Question 1 of 5

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Correct Answer: D

Rationale: A bus trip to a museum is a low-exertion activity at sea level, minimizing the risk of hypoxia compared to high-altitude or strenuous activities.

Question 2 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

Question 3 of 5

The nurse is preparing to teach a client about the prescribed furosemide (Lasix). The nurse should instruct the client about which adverse effect?

Correct Answer: B

Rationale: Furosemide can cause electrolyte imbalances, such as hypokalemia, leading to leg cramps. Other effects are less common.

Question 4 of 5

The client with a recent liver transplant asks the nurse how long he will have to take an immunosuppressant. Which response would be correct?

Correct Answer: D

Rationale: Lifelong immunosuppression is required post-transplant to prevent organ rejection.

Question 5 of 5

A client with Alzheimer's disease has been prescribed donepezil (Aricept). Which information should the nurse include in the teaching plan for a client on Aricept?

Correct Answer: B

Rationale: Donepezil can cause dizziness due to its cholinergic effects, so clients should rise slowly to prevent falls. It's taken at bedtime, not with meals, and doses shouldn't be doubled.

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