Nokea
A 32-year-old female is dehydrated after running a marathon in hot and humid weather. She requires an IV fluid to increase the blood volume and rehydrate the cells. Which one of the following IV fluids would be appropriate for her condition?
- A. Hypertonic crystalloid solution
- B. Isotonic crystalloid solution
- C. Packed red blood cells
- D. Hypotonic crystalloid solution
Correct Answer: B
Rationale: Isotonic solutions (e.g., normal saline) restore volume and hydration without shifting fluids excessively.
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A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
- A. Assess for tinnitus.
- B. Report urine output 50 mL/hr.
- C. Monitor Calcium levels.
- D. Elevate the head of bed slowly before ambulation.
Correct Answer: A
Rationale: Furosemide can cause tinnitus , hypokalemia , and requires potassium-rich foods like bananas.
Which of the following diagnostic studies would NOT indicate a problem related to a reductase inhibitor?
- A. Elevated serum transaminase
- B. Increased serum creatinine
- C. Elevated creatinine kinase
- D. Increased white blood cell counts
Correct Answer: D
Rationale: WBC elevation is unrelated to reductase inhibitors; others indicate liver, kidney, or muscle issues.
An overdose of amitriptyline may precipitate all the following adverse effects EXCEPT:
- A. Cardiac arrhythmias
- B. Hypotension
- C. Sedation
- D. Jaundice
Correct Answer: D
Rationale: Amitriptyline overdose does not typically cause jaundice; it causes anticholinergic and cardiac effects.
Which of the following can be used with parenteral route for the treatment of diabetes mellitus
- A. Insulin preparations
- B. Sulfonilureas
- C. Biguanides
- D. Acarbose
Correct Answer: A
Rationale: Insulin is the only diabetes medication administered parenterally (e.g., subcutaneous or IV).
Which statement is not correct regarding long acting medications:
- A. Effective for treatment of diabetes mellitus type I
- B. Effective for treatment of diabetes mellitus type II
- C. In for intravenous use
- D. Is for subcutaneous use
Correct Answer: C
Rationale: Long-acting insulins like glargine are administered subcutaneously, not intravenously, for sustained glucose control.