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Questions 149

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Question 1 of 5

Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

Correct Answer: C

Rationale: Immunosuppressants, such as cyclosporine, prevent the immune system from forming antibodies against the transplanted heart.

Question 2 of 5

A patient is rushed to the ER after overdosing on benzodiazepines. The nurse anticipates an order for

Correct Answer: B

Rationale: Flumazenil is the antidote for benzodiazepine overdose, reversing sedation. Lorazepam and alprazolam are benzodiazepines, and naloxone is for opioid overdose.

Question 3 of 5

A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

Correct Answer: D

Rationale: Sulfamylon (mafenide acetate) causes a burning sensation upon application, which should be explained to the client.

Question 4 of 5

The registered nurse is making assignments for the day. Which client should not be assigned to the pregnant nurse?

Correct Answer: B

Rationale: A radium implant emits radiation, posing a risk to the fetus, so the pregnant nurse should not care for this client.

Question 5 of 5

A client is receiving an opioid per patient-controlled analgesia (PCA) pump to control postoperative pain; however, when the nurse assesses the client, she finds the client is pale and hypotensive, and has a respiratory rate of 6 breaths per minute. The PCA pump record shows that the limit for maximum dosage was set far too high, resulting in an overdose. The client is very somnolent and barely responsive. What interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Opioid overdose requires stopping the infusion (
A), administering naloxone (
C) to reverse effects, providing oxygen (
D) for respiratory depression, and filing an incident report (E). Discontinuing the PCA (
B) is not immediate.

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