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Questions 158

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Question 1 of 5

When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?

Correct Answer: D

Rationale: Hematocrit is elevated due to hemoconcentration from hypovolemia. Sodium, calcium, and protein levels are typically decreased due to losses into edema fluid or increased capillary permeability.

Question 2 of 5

The nurse is teaching a client with type 1 diabetes about insulin administration. The nurse should tell the client to:

Correct Answer: C

Rationale: Rotating injection sites prevents lipodystrophy and ensures consistent insulin absorption, a critical teaching point for type 1 diabetes management.

Question 3 of 5

The client at 38 weeks gestation is admitted with a blood pressure of 150/100,proteinuria and edema. The nurse should prepare to administer which of the following medications?

Correct Answer: A

Rationale: The client’s symptoms (hypertension proteinuria edema) indicate preeclampsia. Magnesium sulfate is administered to prevent seizures (eclampsia). Terbutaline is a tocolytic hydralazine treats hypertension and betamethasone is for fetal lung maturity in preterm labor.

Question 4 of 5

The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Methylergonovine (Methergine) is an oxytocic used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Magnesium sulfate is for preeclampsia terbutaline is a tocolytic and betamethasone is for fetal lung maturity.

Question 5 of 5

A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?

Correct Answer: A

Rationale: Whole blood is the transfusion component of choice when large volumes of blood need to be replaced. Whole blood contains all blood components that are lost during active bleeding.

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