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Questions 149

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Extract:


Question 1 of 5

The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client's history should be reported to the doctor?

Correct Answer: B

Rationale: Prinzmetal's angina is a contraindication for sumatriptan due to the risk of coronary vasospasm, and this should be reported to the doctor.

Question 2 of 5

Based on clinical findings, the physician suspects that a 65-year-old client has kidney disease and has ordered a blood-urea-nitrogen (BUN) test. Which of the following results is within normal limits?

Correct Answer: B

Rationale: Normal BUN is 7-20 mg/dL, so 15 mg/dL (
B) is within range. Other values (A, C,
D) are too low or high.

Question 3 of 5

A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client's need for:

Correct Answer: A

Rationale: Sickle cell anemia increases oxygen demand during labor, often requiring supplemental oxygen.

Question 4 of 5

A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by:

Correct Answer: D

Rationale: Hemodialysis filters waste products and excess fluids through a dialyzing membrane, mimicking kidney function.

Question 5 of 5

A client seen in the emergency department for influenza asks for an antibiotic prescription. Which of the following guidelines are important in helping the client decrease the risk of developing an antibiotic-resistant infection? Select all that apply.

Correct Answer: B,C,D

Rationale: Avoid antibiotics for viral infections (
B), avoid prophylactic antibiotics (
C), and follow prescription directions (
D) reduce resistance. Stopping early (
A) or reusing antibiotics (E) promotes resistance.

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