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Questions 149

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Extract:


Question 1 of 5

The client is having a cardiac catheterization. During the procedure, the client tells the nurse, 'I'm feeling really hot.' Which response would be best?

Correct Answer: B

Rationale: A warm sensation is a normal response to the injection of contrast dye during cardiac catheterization.

Question 2 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: dry mucous membranes and tented skin are signs of dehydration due to fluid loss

Question 3 of 5

The doctor has ordered 80 mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5 meq/L. The nurse should:

Correct Answer: D

Rationale: A potassium level of 2.5 mEq/L is dangerously low; withholding Lasix and notifying the doctor prevents further potassium loss.

Question 4 of 5

A labor and delivery nurse is assessing a newborn baby boy. Which finding would indicate possible microcephaly?

Correct Answer: C

Rationale: Microcephaly is defined by a head circumference significantly below normal (e.g., lowest 10th percentile), indicating potential brain development issues.

Question 5 of 5

The client is admitted to the postpartum unit with an order to continue the infusion of Pitocin. The nurse is aware that Pitocin is working if the fundus is:

Correct Answer: B

Rationale: A firm and midline fundus indicates effective uterine contraction, showing Pitocin is working to prevent postpartum hemorrhage.

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