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Questions 149

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Question 1 of 5

The nurse caring for a client scheduled for an angiogram should prepare the client for the procedure by telling him to expect:

Correct Answer: D

Rationale: A warm sensation is commonly experienced during an angiogram due to the injection of contrast dye.

Question 2 of 5

A 9-year-old child weighing 40 kilograms has an order for piperacillin (Pipracil) via IV infusion. The recommended daily dose for this medication is 240-300 mg/kg/day IV div. q8h. What is the maximum daily dose of piperacillin this client can receive per day? Calculate and fill in the blank.

Correct Answer: 12,000 mg

Rationale: Maximum dose: 300 mg/kg/day × 40 kg = 12,000 mg/day.

Question 3 of 5

A manic client is admitted to an inpatient psychiatric center. He is hyperactive, talking quickly, acting aggressively, and pacing. The nursing staff should

Correct Answer: D

Rationale: A manic client’s behavior requires close supervision for safety. Assigning an RN to stay with the client ensures monitoring and intervention as needed.

Question 4 of 5

A client taking Dilantin (phenytoin) for tonic-clonic seizures is preparing for discharge. Which information should be included in the client's discharge care plan?

Correct Answer: C

Rationale: Phenytoin requires regular blood work to monitor levels and prevent toxicity, which can cause side effects like gingival hyperplasia.

Question 5 of 5

The physician has ordered a paracentesis for a client with severe abdominal ascites. Before the procedure, the nurse should:

Correct Answer: A

Rationale: Providing a urinal allows the client to empty their bladder, reducing the risk of bladder puncture during paracentesis.

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