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Question 1 of 5

The nurse is caring for a client with a history of Ménière’s disease. The nurse should expect the client to have:

Correct Answer: A

Rationale: Ménière’s disease affects the inner ear, causing vertigo, tinnitus, and hearing loss due to fluid imbalance.

Question 2 of 5

The physician orders medication for a client's unpleasant side effects from the haloperidol. The most appropriate drug at this time is:

Correct Answer: C

Rationale: Lorazepam is a benzodiazepine, or antianxiety agent, that potentiates the effects of -aminobutyric acid in the CNS, which is not the CNS neurotransmitter EPS. Triazolam is a benzodiazepine sedative-hypnotic whose action is mediated in the limbic, thalamic, and hypothalamic levels of the CNS by -aminobutyric acid. Benztropine is an anticholinergic agent, and the drug of choice for blocking CNS synaptic response, which causes EPS. Thiothixene is an antipsychotic and neuroleptic drug that blocks dopamine neurotransmission at the CNS synapses, thereby causing EPS.

Question 3 of 5

A female client at 36 weeks' gestation is experiencing preterm labor. Her physician has prescribed two doses of betamethasone 12 mg IM q24h. The nurse explains that she is receiving this drug to:

Correct Answer: C

Rationale: Respiratory distress syndrome occurs in the newborn, not the fetus. It may be treated postnatally with surfactant therapy. Betamethasone is a corticosteroid, not an anti-infective drug; therefore, its use would not prevent uterine infection. Betamethasone binds with glucocorticoid receptors in alveolar cells to increase production of surfactant, thus increasing lung maturity in the preterm fetus. Betamethasone does not affect uteroplacental circulatory exchange.

Question 4 of 5

A client with a history of liver cirrhosis is admitted with ascites. Which intervention would the nurse expect to implement?

Correct Answer: A

Rationale: Furosemide reduces fluid overload in ascites by promoting diuresis. Increasing fluids (
B), heating pads (
C), and high-sodium diets (
D) worsen ascites.

Question 5 of 5

Nursing care of the infant prior to surgical closure of a meningomyelocele would include:

Correct Answer: B

Rationale: A saline-soaked sterile dressing protects the sac from contamination by air and prevents drying.

Similar Questions

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A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, 'I can't stay still at night. I toss and turn and can't fall asleep.' The nurse suspects that she may be experiencing:
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