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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 assessing a client with a closed reduction of a fractured femur. Which finding should the nurse report to the physician?

Correct Answer: A

Rationale: Chest pain and shortness of breath may indicate a pulmonary embolism, a serious complication requiring immediate reporting.

Question 3 of 5

A 13-year-old female has been diagnosed with celiac disease. Which of the following dinner trays would be acceptable?

Correct Answer: A

Rationale: Celiac disease requires a gluten-free diet. Option A (chicken, carrots, potato) is gluten-free, while others contain gluten (wheat bread, spaghetti, flour tortillas).

Question 4 of 5

The nurse is caring for an adult who had an appendectomy 6 hours ago. Which intervention would the nurse expect to perform to promote rest and sleep? Select all that apply.

Correct Answer: B, C, D

Rationale: Ambien, a cool room, and fresh linens promote rest. A heavy meal may disrupt sleep post-surgery.

Question 5 of 5

The nurse is monitoring a client’s EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?

Correct Answer: D

Rationale: Lidocaine is the drug of choice for frequent premature ventricular contractions (PV
C) occurring in excess of 6-10 per minute; for coupled PVCs or for a consecutive series of PVCs that may result in ventricular tachycardia

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