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Questions 149

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Question 1 of 5

The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer's disease. Which side effect is most often associated with this drug?

Correct Answer: D

Rationale: Nausea is the most common side effect of rivastigmine, a cholinesterase inhibitor used for Alzheimer's disease.

Question 2 of 5

The nurse is making a home visit to an elderly client during the summer. Upon arrival, the nurse notices the refrigerator and freezer doors are open as the client is using both for air conditioning. Which of the following actions by the nurse are most appropriate?

Correct Answer: B

Rationale: Discussing the risks (e.g., food spoilage, electrical hazards) with the client and family promotes safety and education.

Question 3 of 5

A client with alcoholism has been instructed to increase his intake of thiamine. The nurse knows the client understands the instructions when he selects which food?

Correct Answer: D

Rationale: Sliced pork is a rich source of thiamine (vitamin B1), which is critical for preventing Wernicke's encephalopathy in clients with alcoholism.

Question 4 of 5

Which laboratory finding would indicate a 62-year-old male client is at risk for ventricular dysrhythmia?

Correct Answer: A

Rationale: Low magnesium (0.8 mEq/L; normal 1.5-2.5 mEq/L) increases the risk of ventricular dysrhythmias. Other values are within normal ranges.

Question 5 of 5

The oncology nurse is caring for a 24-year-old male client with testicular cancer. Cisplatin IV has been ordered. Which lab value would the nurse notify the health care provider about before administering this medication?

Correct Answer: C

Rationale: Cisplatin is nephrotoxic; a creatinine clearance of 23 mL/min indicates impaired renal function, requiring provider notification before administration.

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