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Questions 149

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Extract:


Question 1 of 5

The nurse administers ciproflaxin to a client and then realizes that the client is allergic to the medication. What nursing action is the priority for this client?

Correct Answer: D

Rationale: Notifying the health care provider is the priority to initiate immediate management of a potential allergic reaction, followed by monitoring and reporting.

Question 2 of 5

The nurse is caring for a client receiving supplemental oxygen. The effectiveness of the oxygen therapy is best determined by:

Correct Answer: C

Rationale: Arterial blood gases provide a direct measure of oxygenation and are the most accurate way to evaluate the effectiveness of oxygen therapy.

Question 3 of 5

The nurse is performing discharge teaching to a client newly diagnosed with hypertension and high cholesterol. Which statement by the client indicates that the nurse's teaching was effective?

Correct Answer: B

Rationale: Substituting lean sirloin for fried chicken reduces fat and cholesterol. Canned foods, soups, and frozen dinners are often high in sodium, unsuitable for hypertension.

Question 4 of 5

A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

Correct Answer: C

Rationale: A viral load of 200 copies/ml is low, indicating effective treatment and minimal circulating virus.

Question 5 of 5

A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

Correct Answer: B

Rationale: A nonstress test measures fetal heart rate in response to fetal movement, assessing fetal activity and well-being.

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