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Questions 227

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Extract:

On the day of surgery, the nurse noted the following laboratory results.


Question 1 of 5

Which one should be reported to the surgeon immediately?

Correct Answer: B

Rationale: Elevated WBC is a sign of infection, which requires immediate reporting to the surgeon to assess the need to postpone surgery.

Extract:

Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).


Question 2 of 5

Priority nursing care on the patient with PIH include:

Correct Answer: C

Rationale: Low urine output (335 ml/24 hours) indicates possible renal involvement in PIH, a priority for monitoring and reporting to prevent further complications.

Extract:


Question 3 of 5

The nurse is caring for a person who is admitted with progressive amyotrophic lateral sclerosis (ALS). What nursing care measure should the nurse expect to be ordered for this client?

Correct Answer: D

Rationale: ALS causes respiratory muscle weakness; chest PT helps clear secretions, preventing pneumonia. Dressings, fluids, or catheters are not primary.

Extract:

Homonymous hemianopsia:


Question 4 of 5

Homonymous hemianopsia:

Correct Answer: A

Rationale: Homonymous hemianopsia involves loss of half the visual field in both eyes, same side.

Extract:


Question 5 of 5

A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?

Correct Answer: A

Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.

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