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Question 1 of 5

The autopsy results in SIDS-related death will show the following consistent findings:

Correct Answer: D

Rationale: SIDS autopsies often show pulmonary edema and intrathoracic hemorrhages, though the exact cause remains unclear and findings are not always definitive.

Question 2 of 5

A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?

Correct Answer: D

Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).

Question 3 of 5

The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

Correct Answer: C

Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.

Question 4 of 5

The nurse is caring for a client following a laryngectomy. The nurse can best help the client with communication by:

Correct Answer: A

Rationale: A pad and pencil allow the client, who cannot speak after a laryngectomy, to communicate effectively by writing messages.

Question 5 of 5

A client returns from surgery with a total knee replacement. Which of the following findings requires immediate nursing intervention?

Correct Answer: B

Rationale: A CPM set at 90° flexion immediately post-knee replacement is excessive and could damage the surgical site, requiring immediate adjustment.

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The nurse is caring for clients on the postpartum unit. Which of the following should the nurse assess first?
A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order
The nurse is caring for a client who lives below the poverty level. While providing discharge teaching, the nurse notes that the client has received a prescription for warfarin (Coumadin) and will need to return to the clinic for regular lab work. Which of the following is most appropriate for the nurse to ask the client?

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