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Questions 164

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Extract:


Question 1 of 5

The nurse reinforces education about safety modifications in the home for the spouse of a client diagnosed with Alzheimer disease. What instructions should the nurse include?

Correct Answer: A,B,C,D

Rationale: Clear pathways (
A), accessible items (
B), locked doors (
C), and bathroom symbols (
D) enhance safety. A dark room (E) may increase confusion or fear.

Question 2 of 5

Before giving furosemide (Lasix) to an adult, the nurse checks the laboratory report for the last serum potassium level. Which finding would be of concern to the nurse?

Correct Answer: A

Rationale: A potassium level of 3.2 mEq/L is low, concerning with furosemide, which can further deplete potassium, risking arrhythmias.

Question 3 of 5

The nurse is caring for assigned clients. The nurse should first check the client with

Correct Answer: D

Rationale: Pericarditis with paradoxical pulse (
D) suggests tamponade, requiring immediate assessment. Atrial fibrillation (
C), pneumonia (
B), and cirrhosis (
A) are less urgent.

Question 4 of 5

The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which client statement requires further investigation?

Correct Answer: A

Rationale: Burning on urination (
A) suggests a urinary tract infection, requiring investigation. Dribbling (
B), nocturia (
D), and missing doses (
C) are common with BPH or medication non-adherence but less urgent.

Extract:

Laboratory reference ranges
1-hour glucose screen - Gestational diabetes
<140 mg/dL
(<7.8 mmol/L)
Hemoglobin (pregnant)
>11.0 g/dL
(>110 g/L)
WBC (pregnant)
5000-15,000/mm3
(5-15 × 109/L)


Question 5 of 5

The licensed practical nurse (LPN) is collecting data on several clients in the antepartum unit. Which of the following clients should the LPN report to the registered nurse for further assessment?

Correct Answer: B

Rationale: Hemoglobin of 9 g/dL (
B) indicates anemia, requiring further assessment. Normal glucose (
A), reactive nonstress test (
C), and slightly elevated WBC (
D) are less urgent.

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