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A nurse is caring for a client who has a new diagnosis of myasthenia gravis. Which of the following findings should the nurse expect?
- A. Muscle weakness
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Muscle weakness, especially in the eyes and face, is a hallmark symptom of myasthenia gravis due to autoimmune attack on acetylcholine receptors.
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A nurse is caring for a client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, so monitoring potassium levels is critical.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
A nurse is reinforcing teaching with a client who is scheduled for a prostate biopsy. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the procedure.
- B. Expect blood in the urine after the procedure.
- C. Avoid physical activity for 24 hours before the procedure.
- D. Take a sedative before the procedure.
Correct Answer: B
Rationale: Blood in the urine is expected after a prostate biopsy due to minor trauma to the prostate tissue.
A nurse is caring for a client who has a new diagnosis of Sjögren's syndrome. Which of the following findings should the nurse expect?
- A. Dry eyes
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Dry eyes are a hallmark symptom of Sjögren's syndrome due to decreased tear production from autoimmune gland dysfunction.
A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-old infant who is febrile. Available is ibuprofen 50 mg/1.25 mL. How many should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 1.0 mL
- B. 1.2 mL
- C. 1.5 mL
- D. 2.0 mL
Correct Answer: C
Rationale: The correct dose is 1.5 mL. To calculate: (60 mg / 50 mg) * 1.25 mL = 1.5 mL. This ensures the infant receives the prescribed 60 mg of ibuprofen.