Questions 28

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Question 1 of 5

The patient with tuberculosis is now on isoniazid (INH). Which laboratory test should the nurse monitor?

Correct Answer: BUN, PT/PTT, and CBC aren't specific to INH. Liver enzymes are monitored due to INH's hepatotoxicity risk.

Rationale:

Question 2 of 5

Which of the following triggers the pancreas to secrete insulin?

Correct Answer: Hypoglycemia triggers glucagon, not insulin. Hyperglycemia prompts insulin release to lower blood sugar. Glucagon opposes insulin. Ketoacids indicate low glucose, not insulin trigger.

Rationale:

Question 3 of 5

The healthcare provider has ordered 1000 mL of 0.9% sodium chloride to be administered intravenously over 5 hours. The drop factor on the tubing is 15 drops/mL. How many milliliters per hour and how many drops per minute will you administer?

Correct Answer: 1000 mL ÷ 5 hr = 200 mL/hr. 200 mL/hr ÷ 60 min = 3.33 mL/min × 15 drops/mL = 49.95 drops/min, rounded to 50. Thus, 200 mL/hr and 50 drops/min.

Rationale:

Question 4 of 5

The nurse is caring for a patient who is experiencing anaphylaxis. The family asks the nurse why the patient is having difficulty breathing. The nurse responds based on what knowledge?

Correct Answer: Bronchoconstriction from allergens causes breathing difficulty in anaphylaxis. Hypotension, tachycardia, and seizures are secondary or unrelated.

Rationale:

Question 5 of 5

What is the priority action for a nurse caring for a client with a urinary tract infection before administering prescribed antibiotics?

Correct Answer: Blood pressure is routine, not priority. Urine culture identifies the bacteria and antibiotic sensitivity before treatment. PTT and platelet counts are unrelated to UTI antibiotics.

Rationale:

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