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Extract:

Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:


Question 1 of 5

The nurse should act independently to prevent this complication by:

Correct Answer: C

Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.

Extract:


Question 2 of 5

The nurse is preparing to discharge a client who is receiving Nardil (phenelzine). The nurse should tell the client to:

Correct Answer: B

Rationale: Drug interactions between an MAOI and pseudoephedrine can result in hypertensive crisis. Answer A refers to the client receiving antipsychotic medications such as Thorazine, so it is incorrect. Answers C and D do not apply to MAOIs, so they are incorrect.

Question 3 of 5

The nurse assesses a client who gave birth 24 hours earlier. Which of the following findings reveals the need for further evaluation?

Correct Answer: B

Rationale: During the early postpartum period, lochia rubra should be moderate to significant. Scant lochia rubra suggests that large clots are blocking the lochial flow. After delivery, vasomotor changes may cause a shaking chill. Thirst, fatigue, and a temperature of up to 100.4°F (38°
C) also are common at 24 hours postpartum.

Extract:

The incidence of Sickle Cell Anemia is higher among black American babies.


Question 4 of 5

The symptoms of sickle cell anemia are not evident until later during infancy because

Correct Answer: C

Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.

Extract:


Question 5 of 5

Order: Vancomycin HCl 1 g in 250 mL DW IVPB, infuse in 90 min. Calculate the flow rate in drops per minute. The drop factor is 20 gtt/mL.

Correct Answer: A

Rationale: 250 mL ÷ 90 min = 2.777 mL/min. 2.777 mL/min × 20 gtt/mL = 55.56 gtt/min, rounded to 56 gtt/min. Other options are incorrect.

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