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Questions 176

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Extract:


Question 1 of 5

The nurse is caring for a client who is experiencing an acute exacerbation of asthma. Which of the following medications should the nurse administer to the client? Select all that apply.

Correct Answer: A, C

Rationale: Albuterol (
A) and ipratropium (
C) are bronchodilators used in acute asthma exacerbations. Ibuprofen (
B), tobramycin (
D), and montelukast (E) are not indicated for acute management.

Question 2 of 5

The nurse is caring for a client with leukemia who is receiving the drug doxorubicin (Adriamycin). Which, if occurred, would be reported to the charge nurse immediately due to the toxic effects of this drug?

Correct Answer: A

Rationale: This drug can cause cardiotoxicity exhibited by changes in the ECG and congestive heart failure. Rales and distended neck veins are clinical manifestations of congestive heart failure, so answer A is correct. A reddish discoloration to the urine is a harmless side effect, so answer B is incorrect. An elevated BUN and dry, flaky skin are not specific to this drug, so answers C and D are incorrect.

Question 3 of 5

What would the nurse expect to see while assessing the growth of children during their school age years?

Correct Answer: D

Rationale: School age children gain about 5.5 pounds each year and increase about 2 inches in height.

Question 4 of 5

The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?

Correct Answer: C

Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.

Question 5 of 5

The nurse is teaching a newly diagnosed asthma client on how to use a peak flow meter. The nurse explains that this should be used to

Correct Answer: B

Rationale: The peak flow meter is used to measure peak expiratory flow volume. It provides useful information about the presence and/or severity of airway obstruction.

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