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Questions 149

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Question 1 of 5

The physician has ordered Pentam (pentamidine) IV for a client with pneumocystis carinii. While receiving the medication, the nurse should carefully monitor the client's:

Correct Answer: A

Rationale: Pentamidine can cause hypotension, so blood pressure monitoring is critical during administration.

Question 2 of 5

A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

Correct Answer: A

Rationale: Monthly Protime tests monitor the therapeutic effect of warfarin and prevent bleeding complications.

Question 3 of 5

The nurse is caring for an obstetrical client in early labor. After the rupture of membranes, the nurse should give priority to:

Correct Answer: B

Rationale: Assessing fetal heart tones is critical after rupture of membranes to detect fetal distress, such as cord compression.

Question 4 of 5

Which one of the following situations represents a maturational crisis for the family?

Correct Answer: A

Rationale: A 4-year-old entering nursery school is a maturational crisis, as it involves a normal developmental transition that can stress family dynamics.

Question 5 of 5

The nurse has an order to administer 100 units of regular insulin in 500 mL of 0.9% NS to infuse at 12 units per hour. The nurse should program the IV pump to deliver how many mLs per hour?

Correct Answer: 60

Rationale: Concentration: 100 units/500 mL = 0.2 units/mL.
To deliver 12 units/hour: 12 ÷ 0.2 = 60 mL/hour.

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