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NEW QUESTION 41
The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria. The initial nursing intervention would be to:

• A. Stop the medication, and begin a normal saline infusion
• B. Take all vital signs, and report to the physician
• C. Assess urinary output, and if it is 30 mL an hour, maintain current treatment
• D. Discontinue the IV

Answer: A

Explanation:
Explanation
(A) The IV line should not be discontinued because other IV medications will be needed. (B) Stop the medication and begin a normal saline infusion. The child is exhibiting signs of an allergic reaction and could go into shock if the medication is not stopped. The line should be kept opened for other medication. (C) Taking vital signs and reporting to the physician is not an adequate intervention because the IV medication continues to flow. (D) Assessing urinary output and, if it is 30 mL an hour, maintaining current treatment is an inappropriate intervention owing to the child's obvious allergic reaction.

NEW QUESTION 42
One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

• A. Syndrome of inappropriate antiduretic hormone
• B. Cerebral edema resulting in hydrocephalus
• C. Auditory nerve damage resulting in permanent hearing loss
• D. Peripheral circulatory collapse

Answer: D

Explanation:
Section: Questions Set A
Explanation/Reference:
Explanation:
(A) Waterhouse-Friderichsen syndrome is peripheral circulatory collapse, which may result in extensive and diffuse intravascular coagulation and thrombocytopenia resulting in death. (B) Syndrome of inappropriate antidiuretic hormone is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. (C) Cerebral edema resulting in hydrocephalus is a complication of meningitis, but it is not Waterhouse- Friderichsen syndrome. (D) Auditory nerve damage resulting in permanent hearing loss is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome.

NEW QUESTION 43
Which of the following findings would be abnormal in a postpartal woman?

• A. Chills shortly after delivery
• B. Pulse rate of 60 bpm in morning on first postdelivery day
• C. An oral temperature of 101F (38.3C) on the third day after delivery
• D. Urinary output of 3000 mL on the second day after delivery

Answer: C

Explanation:
Explanation
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a nervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The pulse rate during the immediate postpartal period may be low but presents no cause for alarm. The body attempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C) Urinary output increases during the early postpartal period (12-24 hours) owing to diuresis. The kidneys must eliminate an estimated 2000-3000 mL of extracellular fluid associated with a normal pregnancy.
(D) A temperature of 100.4F (38C) may occur after delivery as a result of exertion and dehydration of labor.
However, any temperature greater than 100.4F needs further investigation to identify any infectious process.

NEW QUESTION 44
At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her physician orders that an IV be started with 500 mL D5W mixed with 150 mg of ritodrine stat. The RN prepares the IV solution with the medication. The RN knows that clients receiving the medication ritodrine IV should be observed closely for which one of the following side effects:

• A. Hyperkalemia
• B. Hypoglycemia
• C. Increase in hematocrit and hemoglobin
• D. Tachycardia

Answer: D

Explanation:
Explanation
(A) Ritodrine is a sympathomimetic 2-adrenergic agonist that can cause an elevation of blood glucose and plasma insulin in pregnant women. Hyperglycemia can occur in women with abnormal carbohydrate metabolism because of their inability to release more insulin. (B) Hypokalemia can occur resulting from the action of the _-mimetics. It results from a displacement of the extracellular potassium into the intracellular space. (C) Ritodrine causes vasodilation of vessel walls, which can lead to hypotension. The body compensates by increasing heart rate and pulse pressure. (D) There is a lowering of serum iron resulting from the action of _-mimetics to activate hematopoiesis.

NEW QUESTION 45
A 48-year-old client presents with a long history of severedepression unrelieved by medication. He is admitted to the hospital for electroconvulsive therapy. Familymembers are very concerned about this therapy and are requesting information about aftereffects of the treatment. The nurse informs the family that he will:

• A. Have insomnia for the first few days
• B. Be alert and oriented immediately after the treatment
• C. Have transient memory loss, confusion, andheadache
• D. Require no special care after the procedure

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is correct. The client will be confused and have a memory loss, which is usually temporary, after electroconvulsive shock therapy. (B) This answer is incorrect. The client will experience transient memory loss, look bewildered, and be confused initially. (C) This answer is incorrect. The client will sleep immediately following the treatment. (D) This answer is incorrect. Vital signs are taken at least hourly after treatment. The client is monitored for hypotension, tachycardia, respiratory problems, and possible seizure activity.

NEW QUESTION 46
......

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