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Question 1 of 5

A client on a mechanical ventilator begins to fight the ventilator. Which medication will be ordered for the client?

Correct Answer: B

Rationale: Pavulon, a neuromuscular blocker, is used to paralyze respiratory muscles in clients fighting the ventilator, ensuring effective ventilation.

Question 2 of 5

A client with otosderosis is scheduled for a stapedectomy. Which finding suggests a complication involving the seventh cranial nerve?

Correct Answer: D

Rationale: The seventh cranial (facial) nerve controls facial movements and sensation; changes in facial sensation post-stapedectomy suggest nerve involvement.

Question 3 of 5

A child with Tetralogy of Fallot is scheduled for a modified Blalock Taussig procedure. The nurse understands that the surgery will:

Correct Answer: B

Rationale: The modified Blalock-Taussig procedure creates a shunt to improve pulmonary blood flow in Tetralogy of Fallot, enhancing lung oxygenation.

Question 4 of 5

A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?

Correct Answer: D

Rationale: Tucking a diaper beneath the cast at the perineal opening helps keep the cast clean and prevents skin irritation.

Question 5 of 5

A 60-year-old diabetic is taking glyburide (Diabeta) 1.25 mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching?

Correct Answer: C

Rationale: Skipping meals while on glyburide increases hypoglycemia risk, indicating a need for further teaching.

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