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Questions 148

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Extract:


Question 1 of 5

The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:

Correct Answer: C

Rationale: Regular insulin has an onset of 30-60 minutes when given subcutaneously.

Question 2 of 5

During a unit card game, a client with acute mania begins to sing loudly as she starts to undress. The nurse should:

Correct Answer: D

Rationale: Covering the client and escorting her to a private area maintains dignity and safety, addressing the inappropriate behavior calmly.

Question 3 of 5

The nurse is reviewing medication orders for his clients. Which order would necessitate contacting the health care provider?

Correct Answer: B

Rationale: Promethazine is contraindicated in children with Reye’s syndrome due to the risk of worsening neurological symptoms. Other orders are appropriate.

Question 4 of 5

A client is transferred to the intensive care unit following a conornary artery bypass graft. Which one of the post-surgical assessments should be reported to the physician?

Correct Answer: D

Rationale: A central venous pressure of 15 mmHâ‚‚O is elevated, indicating potential fluid overload or cardiac issues, requiring reporting.

Question 5 of 5

The nurse is caring for a homeless client diagnosed with right-sided heart failure. The nurse anticipates that upon discharge the client will need assistance regarding medications, locating a shelter, and follow-up to ensure that the client can obtain transportation to the next appointment with the cardiologist. The nurse understands that this is an example of which content area of care management?

Correct Answer: D

Rationale: Arranging post-discharge support for medications, shelter, and follow-up ensures continuity of care for a vulnerable client.

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