A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?

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Patient Care Test Questions Questions

Question 1 of 5

A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Fever suggests worsening infection or systemic spread, requiring urgent evaluation.

Question 2 of 5

A client with atrial fibrillation is receiving digoxin (Lanoxin). Which of these assessments is most important for the nurse to perform?

Correct Answer: B

Rationale: Digoxin slows heart rate; assessing apical pulse ensures it's not below 60 BPM, preventing bradycardia.

Question 3 of 5

The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse's immediate action?

Correct Answer: C

Rationale: Pain at the site suggests extravasation, risking tissue damage from vesicants.

Question 4 of 5

A client is ordered atropine to be administered preoperatively. Which physiological effect should the nurse monitor for?

Correct Answer: B

Rationale: Atropine, an anticholinergic, reduces salivary and respiratory secretions preoperatively.

Question 5 of 5

A 4 year-old child is admitted with burns on his legs and lower abdomen. When assessing the child's hydration status, which of the following indicates a less than adequate fluid replacement?

Correct Answer: B

Rationale: Rising hematocrit (hemoconcentration) and oliguria indicate inadequate fluid resuscitation.

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