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Questions 149

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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 dangerously with OTC cold and hayfever medications containing sympathomimetics, risking hypertensive crisis.

Question 2 of 5

The nurse is preparing to transfer a client from the ED to the orthopedic unit. She knows that adhering to the hospital policy for client handoffs best ensures which of the following?

Correct Answer: C

Rationale: Proper handoffs ensure continuity of care by transferring critical information accurately between care teams.

Question 3 of 5

A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?

Correct Answer: C

Rationale: Newborns have a respiratory rate of 30-60 breaths/min and heart rate of 120-160 beats/min. Option C (RR 46, HR 153) is within normal ranges.

Question 4 of 5

A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?

Correct Answer: A

Rationale: Sydenham's chorea, a manifestation of rheumatic fever, is characterized by irregular, involuntary movements and facial grimacing.

Question 5 of 5

A client with severe anemia is to receive a unit of whole blood. In the event of a transfusion reaction, the first action by the nurse should be to:

Correct Answer: B

Rationale: Stopping the transfusion and maintaining an IV of normal saline is the first action to prevent further reaction and stabilize the client.

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