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Questions 158

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Extract:


Question 1 of 5

The nurse is preparing to discharge a client who is taking an MAOI. The nurse should instruct the client to:

Correct Answer: B

Rationale: MAOIs interact with tyramine-containing OTC cold and allergy medications, risking hypertensive crisis. Sunglasses, hydration, and protein intake are not specific to MAOI precautions.

Question 2 of 5

Which of the following is an expected finding in a child with osteogenesis imperfecta?

Correct Answer: A

Rationale: Blue sclera is a hallmark of osteogenesis imperfecta due to thin connective tissue in the eyes. Hutchinson’s teeth are associated with congenital syphilis anisocoria is unequal pupil size and pectus excavatum is a chest deformity not specific to this condition.

Question 3 of 5

A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first 24 hours postoperatively, the nurse would be concerned if the client:

Correct Answer: B

Rationale: The client may be more tearful than normal due to the stress of the surgery and its implications for her future life. She would be expected to have pain following surgery. A temperature of 102°F indicates an infectious process. This is not a normal sequence to surgery and indicates a need for further assessment. The client is expected to have no bowel sounds for 24-48 hours after surgery because of the trauma to the bowel. Normal urine output is 30 mL/hr. This represents an output of 50 mL/hr, which is greater than normal.

Question 4 of 5

A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

Correct Answer: C

Rationale: Standing or sitting next to the client conveys caring and provides a sense of security, reducing anxiety.

Question 5 of 5

A client has a tentative diagnosis of myasthenia gravis. The nurse recognizes that myasthenia gravis involves:

Correct Answer: B

Rationale: Myasthenia gravis is caused by autoantibodies blocking acetylcholine receptors, interrupting nerve impulse transmission to muscles, leading to weakness.

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