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Questions 149

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Question 1 of 5

The physician has ordered intravenous fluid with potassium for a client admitted with gastroenteritis and dehydration. Before adding potassium to the intravenous fluid, the nurse should:

Correct Answer: A

Rationale: Adequate urinary output (at least 30 mL/hr) must be confirmed before adding potassium to IV fluids to prevent hyperkalemia.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure

Question 3 of 5

A client with osteomylitis has an order for a trough level to be done because he is taking Gentamycin. When should the nurse call the lab to obtain the trough level?

Correct Answer: B

Rationale: Trough levels measure the lowest drug concentration and are drawn just before a dose after steady-state, typically around the fourth dose for Gentamicin.

Question 4 of 5

The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:

Correct Answer: B

Rationale: Tacrine (Cognex) is associated with hepatotoxicity, and jaundice is a sign of liver dysfunction that should be monitored.

Question 5 of 5

The nurse is conducting an aphasia assessment of a client who has suffered a stroke. Which of the following observations should the nurse include in the assessment? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Aphasia assessment post-stroke includes evaluating spontaneous speech (
A), comprehension (
B), naming objects (
C), describing objects (
D), and writing (E). Memory recall (F) is not specific to aphasia.

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