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Questions 158

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Question 1 of 5

Which aminophylline level is associated with signs of toxicity?

Correct Answer: D

Rationale: Aminophylline levels above 20 micrograms/mL are toxic, causing symptoms like nausea, tachycardia, or seizures. 25 micrograms/mL is well above the therapeutic range (10-20).

Question 2 of 5

Place in sequence from 1-5 the proper order for introducing items to the infant's diet.

Order the Items

Source Container

Strained meats
Whole milk
Rice cereal
Fruits
Vegetables

Correct Answer: C, D, E, A, B

Rationale: Infant diet sequence: rice cereal (
C) at 6 months, then fruits (
D) and vegetables (E), strained meats (
A) around 7-8 months, and whole milk (
B) after 12 months.

Question 3 of 5

In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:

Correct Answer: D

Rationale: These signs are seen in pulmonic stenosis or in response to pulmonary congestion and edema and mitral stenosis. These signs are seen primarily in mitral stenosis or as a late sign in aortic stenosis after left ventricular failure. These signs are seen primarily in right-sided heart valve dysfunction. Left ventricular hypertrophy occurs to increase muscle mass and overcome the stenosis; left ventricular pressures increase as left ventricular volume increases owing to insufficient emptying.

Question 4 of 5

A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?

Correct Answer: A

Rationale: Decreased albumin indicates protein deficiency, impairing tissue repair and delaying wound healing. Decreased creatinine (
B) reflects renal function, increased calcium (
C) affects bones, and increased sodium (
D) affects fluid balance, not healing directly.

Question 5 of 5

An obstetrical client with diabetes has an amniocentesis at 28 weeks gestation. Which test indicates the degree of fetal lung maturity?

Correct Answer: D

Rationale: The lecithin-sphingomyelin (L/S) ratio measures fetal lung maturity by assessing surfactant production, critical for preventing respiratory distress syndrome in preterm infants.

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