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Questions 227

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Extract:

While performing the history and physical examination of a patient with Parkinson's disease, the nurse should assess the patient for:


Question 1 of 5

While performing the history and physical examination of a patient with Parkinson's disease, the nurse should assess the patient for:

Correct Answer: C

Rationale: Parkinson's disease often causes a low-pitched, monotonous voice due to vocal muscle rigidity.

Extract:


Question 2 of 5

A nurse is documenting care provided to a patient. Which of the following entries is most appropriate?

Correct Answer: B

Rationale: Stating 'pain is 4/10' is objective, specific, and measurable, meeting documentation standards. Other entries are vague and lack clinical detail, reducing their utility.

Question 3 of 5

The nurse is monitoring a client's EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?

Correct Answer: D

Rationale: Lidocaine is the drug of choice for frequent (>6–10/min) or coupled premature ventricular contractions (PVCs), as it suppresses ventricular arrhythmias and prevents ventricular tachycardia. Atropine (
A) treats bradycardia, isoproterenol (
B) is used for heart block, and verapamil (
C) is a calcium-channel blocker for supraventricular arrhythmias.

Extract:

Two hours post below knee amputation, the patient's dressing was saturated with serosanguinous secretions.


Question 4 of 5

In addition to notifying the surgeon, the priority nursing action would include:

Correct Answer: C

Rationale: Reinforcing the dressing helps control bleeding while awaiting further instructions from the surgeon, addressing the immediate issue of saturated dressings.

Extract:

The first compensatory mechanism for lost blood volume in children are


Question 5 of 5

The first compensatory mechanism for lost blood volume in children are

Correct Answer: C

Rationale: Tachycardia and vasoconstriction compensate for blood loss to maintain perfusion.

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