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Questions 149

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Question 1 of 5

The nurse is caring for a client with epilepsy who is to receive Dilantin 100 mg IV push. The client has an IV of D51/2NS infusing at 100 mL/hr. When administering the Dilantin, the nurse should first:

Correct Answer: C

Rationale: Dilantin is incompatible with dextrose solutions (D51/2NS), causing precipitation. Flushing with normal saline ensures compatibility and prevents complications.

Question 2 of 5

The nurse is performing discharge teaching to the parents of a 7-year-old who has been diagnosed with asthma. Which sports activity would be most appropriate for this client?

Correct Answer: B

Rationale: Swimming is ideal for asthma clients as it promotes controlled breathing in a warm, humid environment, reducing the risk of exercise-induced bronchospasm.

Question 3 of 5

A 20-year-old male has recently been diagnosed with schizophrenia. The nurse knows which of the following are classic signs and symptoms of this disorder? Select all that apply.

Correct Answer: A,C,D

Rationale: Schizophrenia symptoms include social withdrawal, auditory hallucinations, and disorganized speech. Agitation may occur but is less specific, and obsession with hygiene is not typical.

Question 4 of 5

The client has an order for gentamycin to be administered. Which lab results should be reported to the doctor before beginning the medication?

Correct Answer: B

Rationale: Creatinine levels indicate renal function, critical to monitor before administering gentamycin, which is nephrotoxic.

Question 5 of 5

Which finding is the best indication that a client with ineffective airway clearance needs suctioning?

Correct Answer: C

Rationale: Adventitious breath sounds (e.g., rhonchi or gurgling) indicate mucus obstruction, making suctioning necessary to clear the airway.

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