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Questions 149

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Question 1 of 5

The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse should assess the patient for:

Correct Answer: A

Rationale: Iodinated contrast used in cholangiograms can cause reactions in patients with shellfish or iodine allergies due to potential cross-reactivity.

Question 2 of 5

A client with Addison's disease has been receiving glucocorticoid therapy. Which finding indicates a need for dosage adjustment?

Correct Answer: C

Rationale: A weight gain of 6 pounds in a week suggests fluid retention, indicating possible overdosage of glucocorticoids, requiring adjustment.

Question 3 of 5

The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:

Correct Answer: B

Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.

Question 4 of 5

The nurse is caring for a client with a wound with purulent, foul-smelling drainage. A wound culture is ordered. Which describes the correct collection technique?

Correct Answer: A

Rationale: Cleaning the wound with saline removes surface contaminants, ensuring an accurate culture from viable tissue.

Question 5 of 5

A 51-year-old client received a kidney transplant. Which of the following signs and symptoms indicates possible rejection of the kidney? Select all that apply.

Correct Answer: B,C,D

Rationale: Kidney rejection causes hypertension (
B), fluid retention (weight gain,
C), and graft pain (
D). Decreased urine output (not increased) and elevated creatinine (not decreased) are typical.

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