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Question 1 of 5

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

Correct Answer: D

Rationale: Quinidine, an antiarrhythmic, can prolong the QT interval, increasing the risk of torsades de pointes. Monitoring the ECG for QT prolongation is critical. The other ECG changes are not specific to quinidine.

Question 2 of 5

A client with a T6 injury six months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?

Correct Answer: B

Rationale: Facial flushing and severe hypertension suggest autonomic dysreflexia, often triggered by a distended bladder in spinal cord injury. Assessing and relieving the trigger (
B) is priority. Notifying the physician (
A), oxygen (
C), or fluids (
D) is secondary.

Question 3 of 5

A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:

Correct Answer: B

Rationale: Meperidine (opioid) and promethazine (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation. Promethazine potentiates meperidine’s effects.

Question 4 of 5

A client is admitted with suspected Legionnaires' disease. Which factor increases the risk of developing Legionnaires' disease?

Correct Answer: A

Rationale: Steroid use increases the risk of Legionnaires' disease by suppressing the immune system, making it easier for Legionella bacteria to cause infection.

Question 5 of 5

The nurse is caring for a client with a history of Ménière’s disease. The nurse should expect the client to have:

Correct Answer: A

Rationale: Ménière’s disease affects the inner ear, causing vertigo, tinnitus, and hearing loss due to fluid imbalance.

Similar Questions

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The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
A client with a history of chronic kidney disease is admitted with complaints of shortness of breath. The nurse should give priority to:
A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?
The nurse is preparing to administer a dose of insulin lispro (Humalog). When is the onset of action for this medication?

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