A client (160.6 lbs) with ischemic stroke gets alteplase. Bolus mL/hr?

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Question 1 of 5

A client (160.6 lbs) with ischemic stroke gets alteplase. Bolus mL/hr?

Correct Answer: C

Rationale: 0.9 mg/kg, 10% bolus. 72.9 kg × 0.09 = 6.57 mg. 0.657 mL/min = 39.42 mL/hr, closest to 65.7 (C).

Question 2 of 5

Teaching a heart transplant client on cyclosporine. Which statement to include?

Correct Answer: D

Rationale: Cyclosporine causes gingival hyperplasia; oral care (D) is key.

Question 3 of 5

GCS: opens eyes to shouting, groans, no pain response. Score?

Correct Answer: D

Rationale: Eyes 3, verbal 2, motor 1 = 6 (D) per GCS (text fig).

Question 4 of 5

A patient has been on daily, high-dose glucocorticoid therapy for the treatment of rheumatoid arthritis. His prescription runs out before his next appointment with his physician. Because he s asymptomatic, he thinks it is all right to withhold the medication for 3 days. What is liekley to happent to this patient?

Correct Answer: A

Rationale: Abrupt cessation of high-dose glucocorticoids can cause adrenal crisis (A) due to HPA axis suppression, leading to cortisol deficiency.

Question 5 of 5

During the oliguric phase of AKI, the nurse monitors the patient for SELECT ONE THAT APPLY

Correct Answer: D

Rationale: Oliguric phase involves fluid overload (pulmonary edema, D) and hyperkalemia (ECG changes, B), not hypernatremia (C) or hypotension (A) specifically.

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