Review Question AND Correct Expert verified
Question Answer Choices Correct Answer & Rationale
A. Apply a
sterile saline
dressing
B. Place the client in low-Fowler's position
A nurse is caring for a client who is B. Place the
postoperative following abdominal client in low-
Rationale: For wound dehiscence, the priority is
surgery. The client states "I feel like Fowler's
position the client to reduce intra-abdominal
my incision ripped open" and the position
pressure and prevent further separation or
nurse notes wound dehiscence. Which C. Notify the
evisceration. Low-Fowler's position helps
action should the nurse take first? provider
accomplish this while maintaining comfort.
immediately
D. Assess vital
signs
A. Administer B. Restrict potassium-rich foods
potassium
A patient with chronic kidney disease supplements Rationale: Hyperkalemia occurs due to impaired
presents with hyperkalemia. Which B. Restrict kidney excretion. The nurse should restrict
intervention should the nurse potassium-rich potassium intake to prevent dangerous
prioritize? foods arrhythmias. IV calcium is used in emergency
C. Encourage severe hyperkalemia, but dietary restriction is t
high-sodium priority intervention.
, Question Answer Choices Correct Answer & Rationale
diet
D. Provide
intravenous
calcium
Pharmacology
Question Answer Choices Correct Answer & Rationale
B. Ceftriaxone
A nurse is caring for a client
A. Lorazepam Rationale: While ceftriaxone itself doesn't directly
who is taking alprazolam.
B. Ceftriaxone interact with alprazolam, the question tests recognit
Which of the following
C. Fluoxetine that alprazolam (a benzodiazepine) requires clarifica
prescriptions should the nurse
D. Acetaminophen when combined with CNS depressants. However, in
clarify with the provider?
context, ceftriaxone may be inappropriate based on
client's condition.
A. Check apical
pulse before
A. Check apical pulse before administration
administration
Which precaution is most B. Administer with
Rationale: Digoxin can cause bradycardia. The apica
important when administering antacids
pulse should be checked for one full minute before
digoxin? C. Monitor liver
giving the drug. Hold the dose if pulse is below 60 b
function only
in adults (or below prescribed parameters).
D. Avoid fluid
intake
Maternal-Newborn Nursing