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Questions 158

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Question 1 of 5

The nurse is caring for a client with a history of a pulmonary embolism who is receiving Warfarin (Coumadin). The nurse should monitor the client for:

Correct Answer: A

Rationale: Warfarin, an anticoagulant, increases bleeding risk, requiring monitoring for signs like epistaxis or hematuria. Hypertension, tachypnea, and fever are not primary concerns.

Question 2 of 5

A client with a history of hypertension is receiving Aldactone (spironolactone). The nurse should teach the client to avoid:

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic, and consuming potassium-rich foods can lead to hyperkalemia. Calcium, fiber, and iron supplements are not contraindicated.

Question 3 of 5

A client with a history of a brain tumor is receiving Decadron (dexamethasone). The nurse should monitor the client for:

Correct Answer: A

Rationale: Dexamethasone, a corticosteroid, causes weight gain due to fluid retention and increased appetite. Hypotension, hypoglycemia, and hair loss are not typical side effects.

Question 4 of 5

The nurse is performing an assessment on a client with a suspected diagnosis of cataracts. The chief complaint is likely to be:

Correct Answer: B

Rationale: Cataracts cause cloudy or blurry vision due to lens opacity. Eye pain, flashing lights, and redness are more associated with other conditions like glaucoma or retinal issues.

Question 5 of 5

An obstetrical client with diabetes has an amniocentesis at 28 weeks gestation. Which test indicates the degree of fetal lung maturity?

Correct Answer: D

Rationale: The lecithin-sphingomyelin (L/S) ratio measures fetal lung maturity by assessing surfactant production, critical for preventing respiratory distress syndrome in preterm infants.

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