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Questions 163

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Question 1 of 5

The most common complication following a myocardial infarction is:

Correct Answer: B

Rationale: Cardiac dysrhythmias are the most common complication post-myocardial infarction due to ischemic changes affecting the heart's electrical conduction.

Question 2 of 5

The nurse caring for a client with myasthenia gravis is reviewing the nursing care plan. Which is recognized as the priority nursing diagnosis?

Correct Answer: C

Rationale: Clients with myasthenia gravis have problems with the muscular activity of breathing. Answers A, B, and D are not the priority, so they are wrong.

Question 3 of 5

The doctor has ordered the insertion of an NG tube to determine the extent of gastric bleeding in a client with a gastric ulcer. To facilitate the insertion of the NG tube, the nurse should:

Correct Answer: C

Rationale: Asking the client to swallow helps guide the NG tube into the esophagus and stomach, facilitating insertion.

Question 4 of 5

The physician has prescribed Elavil(amitriptyline) for a client with depression. The nurse should continue to monitor the client's mood because the maximal effects of tricyclic antidepressant medication does not occur for:

Correct Answer: C

Rationale: Tricyclic antidepressants like amitriptyline take 2-4 weeks to reach maximal therapeutic effect.

Choices A and B are too short, and D is excessively long.

Question 5 of 5

The nurse is repairing new prescriptions from the health care provider. Which prescription would require further clarification?

Correct Answer: C

Rationale: Cyclobenzaprine is contraindicated in hepatic impairment due to hepatitis, as it is metabolized by the liver, requiring clarification. Other prescriptions (A, B,
D) are appropriate for the conditions.

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