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Extract:


Question 1 of 5

The nurse is caring for a client with a history of bipolar disorder who is prescribed lithium. Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Lithium can cause hyponatremia, and monitoring serum sodium ensures safe levels (therapeutic lithium range: 0.6–1.2 mEq/L). Glucose (
B), calcium (
C), and hemoglobin (
D) are not directly affected by lithium therapy.

Extract:

Anaphylactic shock is a serious type of blood transfusion reaction.


Question 2 of 5

The pathophysiology of anaphylaxis is

Correct Answer: D

Rationale: Anaphylaxis involves vasodilation and bronchoconstriction, leading to hypotension and respiratory distress.

Extract:


Question 3 of 5

A nurse is assigned to care for a comatose diabetic on IV insulin therapy. Which task would be most appropriate to delegate to an unlicensed assistive personnel (UAP)?

Correct Answer: B

Rationale: The UAP can safely obtain blood glucose readings, which are routine tasks.

Extract:

Which of the following is considered a sequela of a staphylococcal infection that may result to glomerulonephritis?


Question 4 of 5

Infected burn wound

Correct Answer: B

Rationale: Impetigo is a bacterial infection of the skin caused by streptococci or staphylococci. Group A hemolytic streptococci can cause rheumatic fever and glomerulonephritis.

Extract:


Question 5 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.

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