Nokea
The nurse should carefully monitor the client for which common dysrhythmia that can occur during suctioning?
- A. Bradycardia
- B. Tachycardia
- C. Ventricular ectopic beats
- D. Sick sinus syndrome
Correct Answer: A
Rationale: Suctioning can stimulate the vagus nerve, leading to bradycardia due to parasympathetic activation, especially in clients with tracheostomies or endotracheal tubes.
You may also like to solve these questions
The physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?
- A. Neutrophil count of 4500
- B. Hgb of 14.2 g
- C. Platelet count of 250,000
- D. Eosinophil count of 200
Correct Answer: B
Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection; a hemoglobin of 14.2 g indicates effective correction of anemia.
Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered brain death), within what time period should the heart and lungs be transplanted?
- A. 4-6 hours
- B. 8-12 hours
- C. 24 hours
- D. 36 hours
Correct Answer: A
Rationale: Heart and lungs have a short ischemic tolerance, requiring transplantation within 4-6 hours (A) to ensure viability. Longer periods (B, C, D) risk organ failure.
A client requires long-term use of corticosteroids. The nurse explains which of the following is associated with chronic corticosteroid therapy?
- A. chronic fever
- B. inability to gain weight
- C. orthostatic hypotension
- D. osteoporosis
Correct Answer: D
Rationale: Chronic corticosteroid use causes osteoporosis due to bone density loss. Weight gain (not inability), not fever or hypotension, is more common.
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
- A. confused with cold, clammy skin and a pulse of 110.
- B. lethargic with hot, dry skin and rapid, deep respirations.
- C. alert and cooperative with a BP of 130/80 and respirations of 12.
- D. short of breath, with distended neck veins and a bounding pulse of 96.
Correct Answer: A
Rationale: symptoms of hypoglycemia, normal blood sugar 70-110 mg/dL
A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
- A. Hib titer
- B. Mumps vaccine
- C. Hepatitis B vaccine
- D. MMR
Correct Answer: C
Rationale: At 4 months, the hepatitis B vaccine is part of the standard immunization schedule, along with DPT and polio vaccines.