What is the nurse's priority action if a client receiving IV quinidine reports ringing in their ears and visual disturbances?

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Question 1 of 5

What is the nurse's priority action if a client receiving IV quinidine reports ringing in their ears and visual disturbances?

Correct Answer: B

Rationale: Ringing in the ears and visual disturbances may indicate quinidine toxicity.

Question 2 of 5

A 36 y/o fem le presents with an 8 week history of recurrent watery, non-bloody diarrhea. Routine lab, endoscopic, and infectious evaluation thus far have not revealed a diagnosis. Which of the follow suggest a secretory diarrheal etiology?

Correct Answer: C

Rationale: Secretory diarrhea (e.g., from toxins or hormones) has a low stool osmotic gap (<50 mOsm/kg) because it's driven by active secretion, not unabsorbed solutes. Osmotic diarrhea (e.g., malabsorption) has a higher gap (>125 mOsm/kg).

Question 3 of 5

A 55-year-old female presents with palpitations and lightheadedness. Her ECG shows a regular narrow-complex tachycardia at a rate of 180 bpm. What is the first-line treatment?

Correct Answer: A

Rationale: Adenosine is the first-line treatment for supraventricular tachycardia due to its ability to transiently block AV nodal conduction.

Question 4 of 5

A 56 yo woman with a history of atrial fibrillation presents with 3 hours of acute-onset aphasia, hemiparesis, neglect, and forced gaze deviation. CT was WNL. The most common reason for this is:

Correct Answer: B

Rationale: In the first few hours after an ischemic stroke, CT scans may appear normal despite significant clinical findings due to the time it takes for changes to become visible.

Question 5 of 5

In Leukemia, all are true except:

Correct Answer: A

Rationale: Acute leukemia can present with normal or low WBC (e.g., aleukemic leukemia), not always elevated. CLL is often asymptomatic, CML may present with infections, and Ph chromosome variants exist.

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