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Questions 158

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Question 1 of 5

The physician has prescribed Zyvox (linezolid) for a patient with VRE. The concurrent use of which medication may result in serotonin syndrome?

Correct Answer: B

Rationale: Linezolid, a monoamine oxidase inhibitor, can cause serotonin syndrome when combined with SSRIs like Zoloft (sertraline), due to excessive serotonin accumulation. Nexium, Lipitor, and Zyrtec do not interact in this way.

Question 2 of 5

A behavior-modification program has been started for an adolescent with oppositional defiant disorder. Which statement describes the use of behavior modification?

Correct Answer: C

Rationale: Behavior modification for oppositional defiant disorder often uses a token economy system, where positive behaviors are reinforced with rewards to encourage compliance.

Question 3 of 5

The client is admitted with a diagnosis of placenta accreta. Which complication is most likely to occur?

Correct Answer: D

Rationale: Placenta accreta where the placenta abnormally adheres to the uterine wall increases the risk of maternal hemorrhage (during delivery) fetal distress (from placental dysfunction) and preterm labor (from interventions). All are potential complications.

Question 4 of 5

The nurse is caring for a client with a history of a fractured humerus who is in a sling. The nurse should:

Correct Answer: A

Rationale: Ice reduces swelling and pain at the fracture site. Active motion is limited, dependent positioning increases swelling, and massage is not recommended.

Question 5 of 5

Following a vaginal delivery, the postpartum nurse should observe for:

Correct Answer: D

Rationale: Hemorrhage and infection are critical complications to monitor post-vaginal delivery due to potential uterine or perineal issues.

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