Why might a client receive a central venous catheter?
- A. Client is receiving 0.9 normal saline
- B. Client is receiving total parenteral nutrition (TPN)
- C. Client is receiving short-term IV therapy
- D. Client has had one infiltrated IV
Correct Answer: B
Rationale: The correct answer is B because TPN requires a central venous catheter due to the high osmolarity of the solution.
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The most important laboratory value to monitor in a patient with heavy bleeding due to fibroids is:
- A. Hemoglobin
- B. Luteinizing hormone
- C. White blood cell count
- D. Potassium
Correct Answer: A
Rationale: Hemoglobin levels are critical to assess the severity of blood loss and anemia in patients with heavy bleeding.
The main goal of treatment for acute glomerulonephritis is to
- A. encourage activity.
- B. encourage high protein intake.
- C. maintain fluid balance.
- D. teach intermittent urinary catheterization.
Correct Answer: C
Rationale: Maintaining fluid balance is critical in managing acute glomerulonephritis due to potential fluid overload.
What is the primary role of lubricating eye drops?
- A. Moisten the eyes
- B. Treat infections
- C. Correct refractive errors
- D. None of the above
Correct Answer: A
Rationale: Lubricating drops relieve dryness and discomfort by moisturizing the ocular surface.
What considerations and interventions should be used when caring for a client with a hearing impairment?
- A. Use written communication
- B. Speak loudly and slowly
- C. Provide visual aids
- D. All of the above
Correct Answer: D
Rationale: Using multiple strategies ensures effective communication and accommodation for the client's needs.
A client is admitted to the unit with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). For which electrolyte abnormality will you be sure to monitor?
- A. Hypokalemia
- B. Hyperkalemia
- C. Hyponatremia
- D. Hypernatremia
Correct Answer: C
Rationale: SIADH leads to water retention and dilutional hyponatremia. Monitoring sodium levels is essential to prevent complications from low serum sodium.
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