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Questions 227

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Extract:

A client asks the nurse about her beta-blockers medication effect to her angina.


Question 1 of 5

What would be the nurse's response?

Correct Answer: C

Rationale: Beta-blockers decrease heart rate and cardiac contractility, reducing myocardial oxygen demand and relieving angina.

Extract:


Question 2 of 5

The physician orders palifermin (Kepivance) 60 mcg/kg to be administered daily. The client weighs 35 kg. The medication is supplied 5 mg/mL. How many mL would you administer?

Correct Answer: A

Rationale: Dose: 60 mcg/kg × 35 kg = 2100 mcg = 2.1 mg. 2.1 mg ÷ 5 mg/mL = 0.42 mL. Other options are incorrect calculations.

Extract:

A client who had previously signed the consent for liver biopsy has changed his mind and no longer wants the procedure.


Question 3 of 5

The best initial response by the nurse would be:

Correct Answer: B

Rationale: Exploring the reason for refusal respects the patient's autonomy and facilitates informed decision-making.

Extract:


Question 4 of 5

The nurse is caring for a person who is admitted with progressive amyotrophic lateral sclerosis (ALS). What nursing care measure should the nurse expect to be ordered for this client?

Correct Answer: D

Rationale: ALS causes respiratory muscle weakness; chest PT helps clear secretions, preventing pneumonia. Dressings, fluids, or catheters are not primary.

Extract:

Ron is 4-year-old child being discharge to home after an uneventful tonsillectomy.


Question 5 of 5

The nurse would suggest that the appropriate car seat for the child is

Correct Answer: C

Rationale: A booster car seat is appropriate for a bigger child like a 4-year-old, ensuring proper restraint and safety.

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