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Questions 148

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Question 1 of 5

The nurse is monitoring a client’s EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?

Correct Answer: D

Rationale: Lidocaine is the drug of choice for frequent premature ventricular contractions (PV
C) occurring in excess of 6-10 per minute; for coupled PVCs or for a consecutive series of PVCs that may result in ventricular tachycardia

Question 2 of 5

The RN is making assignments for the day. Which one of the following duties can be assigned to the unlicensed assistive personnel?

Correct Answer: B

Rationale: Unlicensed assistive personnel can perform routine catheter care, a non-invasive task within their scope.

Question 3 of 5

During a unit card game, a client with acute mania begins to sing loudly as she starts to undress. The nurse should:

Correct Answer: D

Rationale: Covering the client and escorting her to a private area maintains dignity and safety, addressing the inappropriate behavior calmly.

Question 4 of 5

The nurse is caring for a client following a Whipple procedure. The nurse notes that the drainage from the nasogastric tube is bile tinged in appearance and has increased in the past hour. The nurse should:

Correct Answer: D

Rationale: Increased bile-tinged drainage may indicate a complication, such as a leak, requiring physician notification.

Question 5 of 5

A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?

Correct Answer: A

Rationale: abnormal finding, could indicate gestational diabetes (GDM), hazard of placental insufficiency

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