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Questions 227

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Extract:


Question 1 of 5

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

Correct Answer: D

Rationale: Unexplained vaginal bleeding is a contraindication for hormone replacement therapy due to potential underlying pathology like endometrial cancer. The other options are not absolute contraindications. Health Promotion and Maintenance

Extract:

Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.


Question 2 of 5

The nurse should

Correct Answer: C

Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.

Extract:

Binu is a 45-year-old female patient who is admitted with a diagnosis of acute depression. She has history of inability to deal with her divorce.


Question 3 of 5

The nurse would expect that one of the following drugs will be ordered for the patient which is:

Correct Answer: A

Rationale: Elavil (amitriptyline), a tricyclic antidepressant, is commonly used for depression.

Extract:

Which of the following clinical conditions exacerbates electrolyte excretion?


Question 4 of 5

Nasogastric feedings

Correct Answer: B

Rationale: Surgical drains remove fluid and electrolytes, exacerbating excretion.

Extract:


Question 5 of 5

The nurse is implementing a plan of care for a client with myxedema. Based on the client's diagnosis, the nurse should:

Correct Answer: C

Rationale: Myxedema (hypothyroidism) causes cold intolerance, so an additional blanket is appropriate. High-calorie snacks are for hyperthyroidism. Foot elevation and ketone checks are unrelated.

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