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Questions 149

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Question 1 of 5

The nurse is auscultating a client's breath sounds. Low-pitched grating and rubbing are noted on inhalation and exhalation. What will the nurse chart under assessment findings?

Correct Answer: C

Rationale: Low-pitched grating/rubbing sounds indicate a pleural friction rub, often due to pleural inflammation.

Question 2 of 5

A patient is rushed to the ER after overdosing on benzodiazepines. The nurse anticipates an order for

Correct Answer: B

Rationale: Flumazenil is the antidote for benzodiazepine overdose, reversing sedation. Lorazepam and alprazolam are benzodiazepines, and naloxone is for opioid overdose.

Question 3 of 5

The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?

Correct Answer: C

Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.

Question 4 of 5

The nurse is preparing to administer a dose of prednisone (Deltasone) to a client with rheumatoid arthritis. The client asks, “Why do I need to take this medication?” Which of the following responses by the nurse is correct?

Correct Answer: A

Rationale: prednisone is a corticosteroid that reduces inflammation and pain in rheumatoid arthritis

Question 5 of 5

The nurse is caring for a client following the removal of a central line catheter when the client suddenly develops dyspnea and complains of substernal chest pain. The client is noticeably confused and fearful. Based on the client's symptoms, the nurse should suspect which complication of central line use?

Correct Answer: B

Rationale: Sudden dyspnea, chest pain, and confusion post-central line removal suggest an air embolus, a serious complication requiring immediate intervention.

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