Questions 87

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ATI 24 Spns 126 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Correct Answer: C

Rationale: Yellow vision (xanthopsia) is a classic symptom of digoxin toxicity, caused by its effects on the optic nerve.

Question 2 of 5

A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. (Do not use a trailing zero))

Correct Answer: 0.6 mL

Rationale: 30 mg ÷ 50 mg/mL = 0.6 mL. The nurse should administer 0.6 mL per dose.

Question 3 of 5

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

Correct Answer: A

Rationale: Abduction prevents hip dislocation by keeping the leg away from the midline, maintaining joint stability post-arthroplasty.

Question 4 of 5

A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?

Correct Answer: C

Rationale: Yellow vision (xanthopsia) is a classic symptom of digoxin toxicity, caused by its effects on the optic nerve.

Question 5 of 5

A nurse is caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Monitoring for black, tarry stools is crucial as clopidogrel increases bleeding risk, indicating potential gastrointestinal bleeding.

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