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Questions 149

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Question 1 of 5

Four clients are to receive medication. Which client should receive medication first?

Correct Answer: C

Rationale: A stat dose of Lasix for labored respirations indicates an urgent need to address potential pulmonary edema, prioritizing this client.

Question 2 of 5

A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer: D

Rationale: Acyclovir can cause nephrotoxicity, so encouraging fluids is critical to prevent kidney damage.

Question 3 of 5

A client with AIDS has impaired nutrition because of diarrhea. Which diet selection by the client would indicate a need for further teaching of foods that can worsen the diarrhea?

Correct Answer: A

Rationale: Raw vegetables in a tossed salad can exacerbate diarrhea in AIDS patients. Baked chicken, broiled fish, and steamed rice are easier to digest and less likely to worsen diarrhea.

Question 4 of 5

Which of the following are risk factors for developing glaucoma? Select all that apply.

Correct Answer: C,E

Rationale: Diabetes mellitus and hypertension increase glaucoma risk by affecting ocular blood flow and pressure. Asthma, anemia, and obesity are not direct risk factors.

Question 5 of 5

The nurse on a physical rehabilitation unit is assigned a 63-year-old male client post-amputation of his left lower limb above the knee two weeks prior. The client has a history of peripheral vascular disease due to diabetes mellitus. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Pain after wrapping the stump may indicate improper wrapping or complications, requiring further assessment and education.

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