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Questions 149

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Extract:


Question 1 of 5

The nurse is assessing a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following findings would indicate a need to withhold the medication?

Correct Answer: A

Rationale: hypokalemia is a side effect of furosemide; a potassium level of 2.8 mEq/L is low and requires intervention before administering the medication

Question 2 of 5

The physician has prescribed rantidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

Correct Answer: C

Rationale: Ranitidine is most effective when taken at bedtime to suppress nocturnal acid production in erosive gastritis.

Question 3 of 5

The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirm a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:

Correct Answer: A

Rationale: Neostigmine (Prostigmine) is a cholinesterase inhibitor used to improve muscle strength in myasthenia gravis.

Question 4 of 5

The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates the client understands his new diet?

Correct Answer: C

Rationale: Oatmeal, apple juice, and dry toast are low in sodium and saturated fat, aligning with a DASH diet for hypertension management.

Question 5 of 5

A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:

Correct Answer: D

Rationale: Severe muscle rigidity and fever suggest neuroleptic malignant syndrome (NMS), a medical emergency requiring immediate transfer to a medical unit for treatment.

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