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Questions 149

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Question 1 of 5

The nurse assesses a new order for a blood transfusion. The order is to transfuse 1 unit of packed red blood cells (contains 250 mL) in a 2-hour period. What will be the hourly rate of infusion?

Correct Answer: C

Rationale:
To calculate the hourly rate: 250 mL ÷ 2 hours = 125 mL/hr, ensuring the transfusion is completed within the prescribed time.

Question 2 of 5

A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?

Correct Answer: C

Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.

Question 3 of 5

A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?

Correct Answer: C

Rationale: adequate hydration is a priority for any client with sickle cell crisis

Question 4 of 5

The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?

Correct Answer: D

Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.

Question 5 of 5

The physician has ordered that a 132-pound client with increased intracranial pressure receive 0.5 g of mannitol per kg in an IV solution. How many grams should be in the total mannitol dose? Record your answer using a whole number.

Correct Answer: 30

Rationale: Weight = 132 lb/ 2.2 = 60 kg. Dose = 0.5 g/kg X 60 kg = 30 g.

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