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Questions 149

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Question 1 of 5

The nurse working in the emergency department realizes that it would be contraindicated to induce vomiting if someone had ingested which of the following?

Correct Answer: D

Rationale: Inducing vomiting after ingesting gasoline (a caustic substance) can cause aspiration or esophageal damage. Vomiting is safer for non-caustic substances like ibuprofen, aspirin, or vitamins.

Question 2 of 5

The oncology nurse is caring for a 24-year-old male client with testicular cancer. Cisplatin IV has been ordered. Which lab value would the nurse notify the health care provider about before administering this medication?

Correct Answer: C

Rationale: Cisplatin is nephrotoxic; a creatinine clearance of 23 mL/min indicates impaired renal function, requiring provider notification before administration.

Question 3 of 5

A client in cardiac arrest shows to be in torsades de pointes, and magnesium sulfate is ordered STAT. The priority nursing intervention is

Correct Answer: A

Rationale: Magnesium sulfate for torsades de pointes can cause bradycardia and respiratory depression, requiring close monitoring.

Question 4 of 5

The nurse is reviewing a client's PRN pain medications. There is an order for acetaminophen 1,000 mg PO q4 hours as needed for pain. How should the nurse proceed?

Correct Answer: B

Rationale: Acetaminophen 1,000 mg q4 hours PRN is within safe dosing (max 4,000 mg/day), so it can be administered as ordered.

Question 5 of 5

The nurse is caring for a client with a wound with purulent, foul-smelling drainage. A wound culture is ordered. Which describes the correct collection technique?

Correct Answer: A

Rationale: Cleaning the wound with saline removes surface contaminants, ensuring an accurate culture from viable tissue.

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