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Questions 149

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Question 1 of 5

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

Correct Answer: B

Rationale: Diazoxide can cause hyperglycemia, so monitoring blood glucose levels is essential during administration.

Question 2 of 5

The nurse is caring for a client who will have a pulmonary function test (PFT) performed as an outpatient following hospital discharge. Which should the nurse include in his teaching on the procedure? Select all that apply.

Correct Answer: D,E

Rationale: Smoking cessation for 6-8 hours and withholding bronchodilators for 4-6 hours ensure accurate PFT results. Other instructions are unnecessary or incorrect.

Question 3 of 5

A 3-year-old child had a PPD skin test 2 days ago. When the mother brings the child back to the clinic to have the nurse check the results, the nurse notes a 10 mm area of induration. This is considered

Correct Answer: B

Rationale: A 10 mm induration 48-72 hours post-PPD is positive in children, indicating TB exposure, especially in high-risk groups.

Question 4 of 5

The charge nurse considers both patient-related and staff-related factors when making daily assignments. All of the following are patient-related factors EXCEPT

Correct Answer: D

Rationale: Nurse-to-client ratio is a staff-related factor, affecting workload distribution. Ventilation, medications, and isolation are patient-specific needs.

Question 5 of 5

The nurse is performing an admission for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?

Correct Answer: A

Rationale: Clopidogrel, an antiplatelet drug, increases bleeding risk. Epistaxis (nosebleed) is a significant adverse effect requiring attention.

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