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Questions 148

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Question 1 of 5

Which of the following are true statements regarding peripherally inserted central catheter (PICC) lines? Select all that apply.

Correct Answer: A,C,E

Rationale: PICC lines require sterile technique, have a lower infection risk than other central lines, and can be inserted at the bedside. Only specially trained RNs (not any LPN/RN) can insert them, and pneumothorax risk is minimal.

Question 2 of 5

Which nurse should be assigned to care for the postpartal client with preeclampsia?

Correct Answer: B

Rationale: The RN with labor and delivery experience is best equipped to manage preeclampsia complications in a postpartal client.

Question 3 of 5

A client with schizophrenia has been taking Clozaril (clozapine) for the past 6 months. This morning the client's temperature was elevated to 102°F. The nurse should give priority to:

Correct Answer: C

Rationale: A fever of 102°F in a client on clozapine may indicate agranulocytosis, a life-threatening side effect, requiring immediate physician notification.

Question 4 of 5

The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

Correct Answer: C

Rationale: An O2 saturation of 68% indicates severe hypoxemia, requiring immediate oxygen administration.

Question 5 of 5

A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient’s nutritional status has improved after 4 days?

Correct Answer: C

Rationale: albumin levels are best indicators of long-term nutritional status

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