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Questions 149

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Question 1 of 5

The nurse is caring for a COPD client who is discharged on p.o. Theophylline. Which of the following statements by the client would indicate a correct understanding of discharge instructions?

Correct Answer: C

Rationale: Theophylline can be administered intravenously for acute COPD exacerbations, indicating the client understands potential treatment escalation.

Question 2 of 5

The nurse is assessing a client who had a colon resection 2 days ago. The client states, 'I feel like my stitches have burst loose.' Upon further assessment, dehiscence of the wound is noted. The nurse should:

Correct Answer: B

Rationale: Dehiscence requires covering the wound with a sterile, saline-moistened dressing to prevent infection and protect exposed tissues. The other actions are inappropriate or harmful.

Question 3 of 5

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

Correct Answer: C

Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.

Question 4 of 5

A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?

Correct Answer: D

Rationale: Tetracycline can reduce the efficacy of oral contraceptives, necessitating backup contraception.

Question 5 of 5

The nurse is taking care of a 12-year-old male who sustained 30% full-thickness burns on his chest and arms 20 hours ago. To maintain optimal fluid and electrolyte balance, the nurse expects to administer which of the following?

Correct Answer: A

Rationale: Lactated Ringer's is the standard fluid for burn resuscitation to restore fluid and electrolyte balance, as it closely mimics the body's extracellular fluid.

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