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Questions 227

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Extract:

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


Question 1 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:

A young female patient comes to the physician because she has been experiencing fatigue and double vision. The physician suspects myasthenia gravis.


Question 2 of 5

When obtaining information from the patient, the nurse would expect her to report that:

Correct Answer: D

Rationale: Myasthenia gravis symptoms worsen with activity and are more severe in the evening due to muscle fatigue.

Extract:


Question 3 of 5

The client is being treated with intravenous Vancomycin for MRSA when the nurse notes redness of the client's neck and chest. Place in ordered sequence the actions to be taken by the nurse:

Correct Answer: B,D,C,A

Rationale: Redness suggests an allergic reaction or 'red man syndrome' from rapid vancomycin infusion. The nurse should: stop the infusion to prevent further reaction, take vital signs to assess severity, administer Benadryl if ordered, and call the doctor for further orders.

Question 4 of 5

A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?

Correct Answer: D

Rationale: All listed actions—adequate sleep, self-breast exams, and stress reduction—contribute to cancer prevention by supporting immune function, early detection, and overall health. Health Promotion and Management

Question 5 of 5

Which of the following findings is most typical of a client with a fractured hip?

Correct Answer: A

Rationale: Pain in the hip and leg is the most typical symptom of a hip fracture. Diminished sensation, absent pulses, or disalignment may occur but are less common.

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