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Questions 149

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Question 1 of 5

The nurse is caring for a client receiving IV heparin therapy for a pulmonary embolism. Which lab values would the nurse expect to order on this client?

Correct Answer: C

Rationale: PT, PTT, and INR are monitored to assess the therapeutic effect and safety of heparin, which affects blood clotting.

Question 2 of 5

The nurse is caring for a client receiving theophylline for asthma. In reviewing client labs, the nurse understands that the dose is therapeutic when the drug level is at what concentration?

Correct Answer: C

Rationale: The therapeutic range for theophylline is 10-20 mcg/mL. Other ranges are incorrect for this medication.

Question 3 of 5

The nurse assesses a client complaining of a headache. When the nurse shines a light on the frontal and maxillary sinuses, the light does not penetrate the tissues. What is the best interpretation of this finding?

Correct Answer: C

Rationale: Lack of light penetration during transillumination suggests fluid or pus in the sinuses, indicating a potential infection or obstruction.

Question 4 of 5

The client has a nitroprusside drip infusing at 0.3 mcg/kg/min. The concentration is 50 mg nitroprusside in 250 mL D5W. The client weighs 70 kg. What will the IV infusion rate be?

Correct Answer: 6.3 mL/hr

Rationale:
To calculate: 0.3 mcg/kg/min × 70 kg = 21 mcg/min. Concentration is 50 mg/250 mL = 200 mcg/mL. Rate = 21 mcg/min ÷ 200 mcg/mL = 0.105 mL/min × 60 min/hr = 6.3 mL/hr.

Question 5 of 5

A client with vaginal cancer is being treated with a radioactive vaginal implant. The client's husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

Correct Answer: D

Rationale: Radiation safety protocols limit visitation to short periods (e.g., 30 minutes) to minimize exposure to radioactive implants.

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