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Extract:


Question 1 of 5

The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is

Correct Answer: A

Rationale: Urinary output of 30 ml per hour. This indicates adequate fluid replacement without suggesting overload.

Question 2 of 5

A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse would anticipate which of the following findings?

Correct Answer: A

Rationale: Lethargy. Hypothyroidism slows metabolism, leading to symptoms like lethargy, constipation, and cold intolerance.

Question 3 of 5

A nurse is teaching a patient about the use of albuterol (Proventil) for asthma. Which of the following instructions should be included?

Correct Answer: D

Rationale: Albuterol, a rescue inhaler, is used before exercise to prevent exercise-induced bronchospasm. It’s not for daily prevention, symptom-only use, or bedtime dosing.

Extract:

The physician has ordered IV replacement of potassium for a patient with severe hypokalemia.


Question 4 of 5

The nurse would administer the IV potassium

Correct Answer: B

Rationale: Potassium is diluted and infused slowly to prevent cardiac arrhythmias.

Extract:


Question 5 of 5

An adult had an open cholecystectomy and has an open wound. The client refuses to look at the area during the dressing change. What is the most likely reason for this behavior?

Correct Answer: B

Rationale: Refusing to look at the wound suggests difficulty accepting a change in body image post-cholecystectomy, a common emotional response.

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