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Questions 227

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Extract:

A patient with Alzheimer's disease is admitted with suspected dehydration after his daughter reports that he's refused to drink anything for the past 3 days.


Question 1 of 5

Which lab result is most expected with dehydration?

Correct Answer: B

Rationale: Hypernatremia (elevated sodium) is expected in dehydration due to water loss.

Extract:

The mother's condition has deteriorated during labor and a cesarean section is required. Her husband is worried and anxious about the changed of plan and demand for an explanation.


Question 2 of 5

Who among the following should explain the procedure to the husband?

Correct Answer: A

Rationale: The surgeon, as the procedure performer, is best suited to explain the cesarean section.

Extract:

A client has been on antibiotics for 72 hours for cystitis.


Question 3 of 5

Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Rashes and breathing problems are signs of a delayed allergic reaction to antibiotics, requiring urgent attention.

Extract:


Question 4 of 5

While assessing an Rh positive newborn whose mother is Rh negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?

Correct Answer: C

Rationale: The elevated bilirubin is in the range that requires immediate intervention, such as phototherapy. At a serum bilirubin of 12 mg, the neonate is at risk for the development of kernicterus, or bilirubin encephalopathy. The provider determines the therapy appropriate after reviewing all laboratory findings.

Extract:

The patient with DM has flu.


Question 5 of 5

Which nursing action is more appropriate?

Correct Answer: A

Rationale: Flu can disrupt glucose control, making frequent monitoring critical.

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