A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to

Correct Answer: A

Rationale: Tetralogy of Fallot causes cyanosis; assessing oxygenation is critical pre-surgery.

Question 2 of 5

A woman comes to the antepartum clinic for a routine prenatal examination. She is 12 weeks pregnant with her second child. Which of the following shows proper documentation of the client's obstetric history by the nurse?

Correct Answer: D

Rationale: Gravida 2 (second pregnancy), Para 1 (one prior birth) is correct.

Question 3 of 5

A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most serious effect of chronic lead poisoning is

Correct Answer: A

Rationale: Lead causes irreversible CNS damage, the most severe long-term effect.

Question 4 of 5

The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

Correct Answer: C

Rationale: ROM and ambulation promote venous return, reducing DVT risk.

Question 5 of 5

Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. The IV solution contains 2 grams of Lidocaine in 500 cc's of D5W. The infusion pump delivers 60 microdrops/cc. What rate would deliver 4 mg of Lidocaine/minute?

Correct Answer: A

Rationale: Calculation: 4 mg/min × 500 cc / 2000 mg × 60 gtts/cc = 60 microdrops/min.

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