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Questions 148

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Question 1 of 5

The RN on the oncology unit is preparing to mix and administer amphoteracin B (Fungizone) to a client. Which action is contraindicated for administering this drug IV?

Correct Answer: A

Rationale: Amphotericin B should not be mixed with normal saline due to precipitation risk; it requires dextrose solutions. Slow administration, hydration, and premedication are standard to reduce side effects.

Question 2 of 5

The nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The nurse notes that the urine output is bright red with clots. Which of the following actions should the nurse take FIRST?

Correct Answer: B

Rationale: bright red urine with clots indicates potential bleeding, requiring immediate physician notification

Question 3 of 5

The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client’s international normalized ratio (INR) is 4.5. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: an INR of 4.5 is above the therapeutic range (2.0–3.0), indicating a risk of bleeding; the dose should be withheld and the physician notified

Question 4 of 5

The nurse is caring for a client who is receiving mechanical ventilation. The ventilator alarms are sounding, and the nurse notes high-pressure alarms. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: checking for kinks in the tubing is the first step, as it is a common cause of high-pressure alarms

Question 5 of 5

Which of the following is a metabolic, life-threatening adverse reaction to general anesthesia?

Correct Answer: B

Rationale: Malignant hyperthermia is a life-threatening reaction to general anesthesia, characterized by rapid temperature increase due to muscle hypermetabolism.

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