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Question 1 of 5

The nurse is caring for a client who is postoperative day 1 after a total abdominal hysterectomy. Which of the following findings should the nurse report immediately?

Correct Answer: A

Rationale: A temperature of 100.4°F suggests infection, a serious postoperative complication. Options B, C, and D are expected findings.

Question 2 of 5

The nurse is caring for a client who is receiving a continuous IV infusion of dopamine for hypotension. Which of the following findings should the nurse report immediately?

Correct Answer: C

Rationale: Urine output of 20 mL/hour indicates oliguria, suggesting inadequate perfusion despite dopamine. Options A, B, and D are expected.

Question 3 of 5

A client has come to the clinic for a hepatitis B vaccine and asks if he has to be re-vaccinated after his first injection. Which of the following responses by the nurse is BEST?

Correct Answer: B

Rationale: hepatitis B vaccine is repeated at one and six months

Question 4 of 5

The nurse is caring for a client in the ICU. Hemodynamic monitoring is accomplished via a Swan-Ganz catheter. The nurse is aware that this type of monitoring will provide which of the following information?

Correct Answer: B

Rationale: CVP readings measure the pressure in the right ventricle, the Swan-Ganz catheter measures the pulmonary artery wedge pressure, which is an indirect reading of the pressure in the left ventricle

Question 5 of 5

A patient received meperidine (Demerol) 75 mg IM 2 hours ago for complaints of pain. The patient turns on his call light and tells the nurse he has to go to the bathroom. The physician has ordered BPR (bathroom privileges). The nurse should

Correct Answer: B

Rationale: side effects of medication include decreased BP, orthostatic hypotension, bradycardia

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