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Questions 148

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Extract:


Question 1 of 5

The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?

Correct Answer: A

Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion reduces further overload while maintaining access. Stopping it entirely or documenting only delays intervention.

Question 2 of 5

The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?

Correct Answer: C

Rationale: TPN's high dextrose content requires glucose monitoring to prevent hyperglycemia.

Question 3 of 5

An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?

Correct Answer: C

Rationale: A liver profile is required before starting isotretinoin due to its potential hepatotoxicity, ensuring safe administration.

Question 4 of 5

A client with cancer is to undergo a bone scan. The nurse should:

Correct Answer: B

Rationale: Voiding immediately before a bone scan ensures the bladder is empty, reducing interference with pelvic imaging and improving the accuracy of the scan.

Question 5 of 5

All of the following are modifiable risk factors for coronary artery disease (CAD) EXCEPT

Correct Answer: D

Rationale: Family history is a non-modifiable risk factor for CAD. Stress, obesity, and smoking can be modified through lifestyle changes.

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