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Questions 148

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Question 1 of 5

The doctor has prescribed Cortone (cortisone) for a client with systemic lupus erythematosis. Which instruction should be given to the client?

Correct Answer: B

Rationale: Cortisone can cause weight gain and appetite changes, which should be monitored in SLE to manage side effects.

Question 2 of 5

The nurse is caring for a patient with a colostomy. The patient asks, 'Will I ever be able to swim again?' The nurse's best response would be:

Correct Answer: A

Rationale: Swimming is possible with a colostomy if proper precautions, like a waterproof seal, are used to protect the stoma.

Question 3 of 5

A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:

Correct Answer: B

Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical finding in bacterial meningitis in infants.

Question 4 of 5

A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

Correct Answer: C

Rationale: Dinoprostone is used to induce uterine contractions and facilitate expulsion in a missed abortion.

Question 5 of 5

The nurse is caring for a client who has a lithium level of 2.2 mEq/L. Based on this lab value, what would the nurse anticipate to do in order to care for this client? Select all that apply.

Correct Answer: A, B, E

Rationale: A lithium level of 2.2 mEq/L indicates toxicity (therapeutic range: 0.6–1.2 mEq/L). The nurse should prepare IV fluids, notify the provider, and monitor for symptoms like confusion and slurred speech. A soft diet is unnecessary, and the next dose should be held.

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