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Questions 149

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Question 1 of 5

The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

Correct Answer: B

Rationale: Hypersomnolence is an expected side effect of magnesium sulfate due to its central nervous system depressant effects.

Question 2 of 5

The physician has ordered a serum aminophylline level for a client with chronic obstructive lung disease. The nurse knows that the therapeutic range for aminophylline is:

Correct Answer: D

Rationale: The therapeutic range for aminophylline is 10-20 micrograms/mL to effectively manage symptoms of chronic obstructive lung disease.

Question 3 of 5

A labor and delivery nurse is assessing a newborn baby boy. Which finding would indicate possible microcephaly?

Correct Answer: C

Rationale: Microcephaly is defined by a head circumference significantly below normal (e.g., lowest 10th percentile), indicating potential brain development issues.

Question 4 of 5

Which nursing assessment indicates that involutional changes have occurred in a client who is 3 days postpartum?

Correct Answer: A

Rationale: A firm fundus 3 finger widths below the umbilicus by day 3 postpartum indicates normal uterine involution, as the uterus shrinks progressively after delivery.

Question 5 of 5

A client seen in the emergency department for influenza asks for an antibiotic prescription. Which of the following guidelines are important in helping the client decrease the risk of developing an antibiotic-resistant infection? Select all that apply.

Correct Answer: B,C,D

Rationale: Avoid antibiotics for viral infections (
B), avoid prophylactic antibiotics (
C), and follow prescription directions (
D) reduce resistance. Stopping early (
A) or reusing antibiotics (E) promotes resistance.

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