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Questions 149

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Question 1 of 5

The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?

Correct Answer: A

Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.

Question 2 of 5

A client has an order for Demerol 75 mg and atropine 0.4 mg IM as a preoperative medication. The Demerol vial contains 50 mg/mL, and atropine is available 0.4 mg/mL. How many milliliters will the nurse administer in total?

Correct Answer: C

Rationale: Demerol: 75 mg ÷ 50 mg/mL = 1.5 mL. Atropine: 0.4 mg ÷ 0.4 mg/mL = 1 mL.
Total = 1.5 mL + 1 mL = 2.5 mL.

Question 3 of 5

A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

Correct Answer: B

Rationale: In Bryant's traction, the buttocks should be slightly elevated (15° off the bed) to ensure proper alignment.

Question 4 of 5

Which of the following findings would be expected in the infant with biliary atresia?

Correct Answer: C

Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.

Question 5 of 5

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help with decreasing the client's confusion by:

Correct Answer: D

Rationale: A nightlight reduces disorientation and confusion in elderly clients by providing visual cues in the dark.

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