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Questions 148

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Question 1 of 5

The nurse is preparing the client for surgery. The pre-op medication includes atropine sulfate 0.4 mg, meperidine (Demerol HCl) 50 mg, and promethazine hydrochloride (Phenergan) 25 mg IM. Which action should the nurse do first?

Correct Answer: A

Rationale: Ensuring the surgical permit is signed is the priority to confirm informed consent before administering preoperative medications.

Question 2 of 5

The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:

Correct Answer: C

Rationale: The earlobe is a suitable site for pulse oximetry in peripheral vascular disease, as it is less affected by impaired peripheral circulation.

Question 3 of 5

The nurse is reviewing the lab results of a client's arterial blood gases. The $\mathrm{PaCO}_2$ indicates effective functioning of the:

Correct Answer: C

Rationale: PaCO2 reflects lung function, as the lungs regulate carbon dioxide levels through ventilation; abnormal levels indicate respiratory issues.

Question 4 of 5

The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse's action should be to:

Correct Answer: B

Rationale: Hypotension and unresponsiveness suggest hypovolemia or shock, so increasing the normal saline infusion is the initial action to restore volume.

Question 5 of 5

All of the following are examples of secondary disease prevention EXCEPT

Correct Answer: A

Rationale: Secondary prevention detects/treats disease early (mammograms, syphilis testing, exercise post-MI). Support groups (
A) are tertiary, aiding coping with existing disease.

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