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Extract:

A client's monitor shows a PQRST wave for each beat and indicates a rate of 120. The rhythm is regular.


Question 1 of 5

The nurse should note that the client is experiencing:

Correct Answer: B

Rationale: A regular rhythm with a rate of 120 and normal PQRST waves indicates sinus tachycardia.

Extract:


Question 2 of 5

The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:

Correct Answer: C

Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.

Question 3 of 5

The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate

Correct Answer: C

Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.

Question 4 of 5

During morning rounds, the nurse notices blood spots on the pillowcase of a child with acute lymphoid leukemia. The nurse should be most concerned about the client's:

Correct Answer: C

Rationale: Blood spots suggest bleeding, likely due to low platelets (thrombocytopenia) in acute lymphoid leukemia, so C is correct. Red blood cell count , white blood cell count , and reticulocyte count are less directly related to bleeding.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.

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