Nokea
A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push.
- A. Which observation would prompt the nurse to withhold the next dose of procainamide?
- B. Presence of premature ventricular contractions.
- C. Occurrence of severe hypotension.
- D. Recurring paroxysmal atrial tachycardia.
- E. A sedimentation rate of 10.
Correct Answer: B
Rationale: Severe hypotension is a serious side effect of procainamide, requiring the dose to be withheld to prevent cardiovascular collapse. PVCs and atrial tachycardia are arrhythmias the drug treats, and a normal sedimentation rate is irrelevant.
You may also like to solve these questions
A child is diagnosed with poison ivy. The mother tells the nurse that she does not know how her child contracted the rash since he had not been playing in wooded areas. As the nurse asks questions about possible contact, which of the following would the nurse recognize as highest risk for exposure?
- A. Playing with toys in a back yard flower garden
- B. Eating small amounts of grass while playing 'farm'
- C. Playing with cars on the pavement near burning leaves
- D. Throwing a ball to a neighborhood child who has poison ivy
Correct Answer: C
Rationale: Playing with cars on the pavement near burning leaves. Smoke from burning leaves or stems of the poison ivy plant can produce a reaction. Direct contact with the toxic oil, urushiol, is the most common cause for this dermatitis.
A 30 month-old child is admitted to the hospital unit. Which of the following toys would be appropriate for the nurse to select from the toy room for this child?
- A. Cartoon stickers
- B. Large wooden puzzle
- C. Blunt scissors and paper
- D. Beach ball
Correct Answer: B
Rationale: Large wooden puzzle. This is age-appropriate, supporting fine motor skills and cognitive development.
Before administering calcium gluconate 10% 500 mg IV stat.
It is MOST important that the nurse assess the
- A. stability of the respiratory system.
- B. adequacy of urine output.
- C. patency of the vein.
- D. availability of magnesium sulfate injection.
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to calcium gluconate. (1) unnecessary in this situation (2) unnecessary in this situation (3) correct-if injected into the extravascular tissues, calcium gluconate can cause a severe chemical burn (4) irrelevant
When caring for an abused client, what is most important for the nurse to do initially?
- A. Provide a safe place for the victim
- B. Refer the victim to a long-term support group
- C. Make an appointment with a counselor
- D. Make arrangements for the victim to confront the abuser
Correct Answer: A
Rationale: Providing a safe place is the priority, ensuring immediate protection from further abuse before addressing long-term support.
A 28-year-old client is admitted to the hospital unit with hepatitis A. The nurse knows that the client's overall care during hospitalization should include which of the following?
- A. Protective isolation.
- B. Airborne precautions.
- C. Standard precautions.
- D. Droplet precautions.
Correct Answer: C
Rationale: standard precautions should be used on everyone; sources for this virus are saliva, feces, and blood; use contact isolation if fecal incontinence