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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for an infant receiving intravenous fluid. Signs of fluid overload in an infant include:

Correct Answer: B

Rationale: Fluid overload in infants can cause increased heart rate and blood pressure due to increased intravascular volume.

Question 2 of 5

The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:

Correct Answer: A

Rationale: Cloudy dialysate indicates possible peritonitis, a serious infection requiring immediate medical intervention to prevent complications.

Question 3 of 5

A client has been diagnosed with glossopharyngeal neuralgia. The nurse will expect the client to

Correct Answer: D

Rationale: Glossopharyngeal neuralgia causes severe pain in the throat, ears, tongue, and tonsils due to irritation of the ninth cranial nerve.

Question 4 of 5

An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?

Correct Answer: A

Rationale: Crystals in IV fluorouracil indicate precipitation; the solution should be discarded to prevent administration errors.

Question 5 of 5

The nurse in the ER has received report of four clients en route to the emergency department. Which client should the nurse see first? A client with:

Correct Answer: A

Rationale: Third-degree burns to the face and neck with singed nasal hairs suggest airway burns, a life-threatening condition requiring immediate airway assessment and management.

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