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Question 1 of 5

The nurse is assisting in the care of a patient who is 2 days post-operative from a hemorrhoidectomy. The nurse would be correct in instructing the patient to:

Correct Answer: D

Rationale: A sitz bath promotes healing and relieves pain after a hemorrhoidectomy by keeping the area clean and reducing inflammation.

Question 2 of 5

A client is in acute postoperative pain, and the physician orders 85 mg of meperidine (Demerol®) stat. The vial contains 100 mg in 2 mL. How many milliliters should the nurse administer? Record your answer using a decimal number.

Correct Answer: 1.7

Rationale: Dose = 85 mg, concentration = 100 mg/2 mL = 50 mg/mL. Volume = 85 m/50 mg/mL = 1.7 mL.

Question 3 of 5

Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered brain death), within what time period should the heart and lungs be transplanted?

Correct Answer: A

Rationale: Heart and lungs have a short ischemic tolerance, requiring transplantation within 4-6 hours (
A) to ensure viability. Longer periods (B, C,
D) risk organ failure.

Question 4 of 5

The physician has prescribed imipramine (ToFranil) for a client with depression. The nurse should continue to monitor the client's affect because the maximal effects of tricyclic antidepressant medication do not occur for:

Correct Answer: C

Rationale: Tricyclic antidepressants like imipramine take 2-4 weeks to reach maximal therapeutic effect, requiring ongoing monitoring of the client's mood.

Question 5 of 5

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

Correct Answer: B

Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication processing.

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