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Questions 148

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Question 1 of 5

The nurse is assessing a client for hypovolemia. Which laboratory result would help the nurse in confirming a volume deficit?

Correct Answer: A

Rationale: Hypovolemia causes hemoconcentration, increasing hematocrit (e.g., 55% is elevated). Potassium, urine specific gravity, and BUN within normal ranges don't confirm volume deficit.

Question 2 of 5

The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:

Correct Answer: C

Rationale: Lactulose reduces ammonia levels to prevent hepatic encephalopathy.

Question 3 of 5

The nurse is admitting a client directly from a health provider's office. The client has a rash and has been diagnosed with measles. Which room assignment by the nurse indicates an understanding of the disease process of measles?

Correct Answer: A

Rationale: Measles requires airborne precautions, necessitating a private negative-pressure room to prevent transmission.

Question 4 of 5

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

Correct Answer: B

Rationale: The vital signs indicate shock, so contacting the physician for immediate intervention is the priority.

Question 5 of 5

The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

Correct Answer: A

Rationale: Rotating sites prevents skin irritation and ensures consistent absorption.

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