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Extract:


Question 1 of 5

The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:

Correct Answer: B

Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.

Question 2 of 5

The nurse is caring for a client with a history of diabetes mellitus who is experiencing diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: DKA causes fruity breath odor due to ketone production from fat metabolism. Rapid, deep respirations (not slow,
A) compensate for acidosis, tachycardia/hypotension (not bradycardia,
C) occur, and hyperglycemia (not hypoglycemia,
D) is typical.

Question 3 of 5

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

Correct Answer: B

Rationale: Acetaminophen is metabolized in the liver, and overdose can cause severe liver damage or failure. The other organs are not primarily affected by acetaminophen overdose. Pharmacological Therapies

Question 4 of 5

The nurse is giving home care to an older adult. The client says to the nurse, 'I wonder if I have cataracts. My mother went blind from cataracts you know.' Which additional comment the client makes would make the nurse suspect that he might have cataracts?

Correct Answer: B

Rationale: Night driving difficulty is a classic cataract symptom due to lens clouding causing glare and reduced contrast, unlike hyperopia, eye color changes, or photophobia.

Extract:

Baby Larry was born with Down's syndrome.


Question 5 of 5

When performing physical assessment, the nurse should carefully evaluate the infant's:

Correct Answer: A

Rationale: Cardiac anomalies often accompany other genetic problems such as Down syndrome. 30 to 40% of these infants have congenital heart defects.

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