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Questions 149

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Question 1 of 5

The client has an order for gentamycin to be administered. Which lab results should be reported to the doctor before beginning the medication?

Correct Answer: B

Rationale: Creatinine levels indicate renal function, critical to monitor before administering gentamycin, which is nephrotoxic.

Question 2 of 5

A pediatric nurse volunteers at a health screening fair. The nurse examines a patient. Which of the following findings may be indicative of type 1 diabetes and require further investigation?

Correct Answer: D

Rationale: Type 1 diabetes presents with polyphagia, polydipsia, and polyuria (e.g., waking to urinate). Weight loss (
B) is also common, but D is the most specific.

Question 3 of 5

The priority nursing intervention for a client with sickle cell crisis is to

Correct Answer: D

Rationale: IV fluids are the priority in sickle cell crisis to reduce blood viscosity, promote perfusion, and prevent organ damage.

Question 4 of 5

A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse's assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

Correct Answer: C

Rationale: A pulse oximetry of 92 indicates hypoxemia, so administering oxygen is the priority to improve oxygenation and prevent further sickling.

Question 5 of 5

An electrical fire occurs in a client's room shortly after the client returns from the recovery room after repair of a hip fracture with insertion of a prosthesis. What is the best method of removing the client from the room?

Correct Answer: C

Rationale: Moving the bed with the client on it (
C) is the safest and fastest method to evacuate a post-surgical client with limited mobility during an emergency like a fire. Other methods (A, B,
D) risk injury or delay.

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