Questions 44

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ATI LPN Advanced Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a client who is receiving packed red blood cells. During the infusion, the client states, 'My heart is racing.' The nurse notes that the client's face has become flushed. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The first action is to stop the infusion to halt exposure to the potential allergen.

Question 2 of 5

While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure?

Correct Answer: B

Rationale: Iodine-based contrast dyes used in cardiac catheterization may trigger reactions in clients allergic to shellfish.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following information should the nurse include in the teaching?

Correct Answer: C

Rationale: SLE primarily involves inflammation of connective tissue, including skin, joints, and organs.

Question 4 of 5

Serum sickness, which is a Type III Hypersensitivity Reaction, may occur in patients that have received which of the following medications?

Correct Answer: D

Rationale: Penicillin and sulfonamides are classic triggers for serum sickness, a delayed hypersensitivity reaction involving immune complex deposition.

Question 5 of 5

A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: The characteristic 'butterfly' rash over the cheeks and nose is a hallmark finding in SLE.

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