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Questions 149

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Extract:


Question 1 of 5

During the change of shift, the oncoming nurse notes a discrepancy in the number of percocette listed and the number present in the narcotic drawer. The nurse's first action should be to:

Correct Answer: B

Rationale: A narcotic discrepancy requires reporting to the supervisor for investigation.

Question 2 of 5

Four days after delivery, a client develops complications of postpartal hemorrhage. The most common cause of late postpartal hemorrhage is:

Correct Answer: B

Rationale: Retained placental fragments are the most common cause of late postpartum hemorrhage, as they prevent proper uterine contraction and hemostasis.

Question 3 of 5

A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

Correct Answer: A

Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.

Question 4 of 5

A client with myasthenia gravis is admitted in a cholinergic crisis. Signs of of cholinergic crisis include:

Correct Answer: A

Rationale: Cholinergic crisis, due to excessive acetylcholinesterase inhibitors, causes symptoms like constricted pupils and decreased blood pressure from parasympathetic overstimulation.

Question 5 of 5

The physician has ordered a serum aminophylline level for a client with chronic obstructive lung disease. The nurse knows that the therapeutic range for aminophylline is:

Correct Answer: D

Rationale: The therapeutic range for aminophylline is 10-20 micrograms/mL to effectively manage symptoms of chronic obstructive lung disease.

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