quiz 2

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Question 1: A patient is injected with a radiographic contrast medium and immediately shows signs of dyspnea, flushing, and pruritus. Which intervention should take priority?
A) Checking his vital signs
B) Making sure his airway is patent
C) Applying a cold pack to the I.V. site
D) Calling the physician
Explanation: The patient's symptoms indicate a possible allergic reaction, which could lead to anaphylaxis and airway compromise.
Question 2: What should the nurse teach a client taking antihypertensives to minimize orthostatic hypotension?
A) Wear support hose continuously.
B) Lie down for 30 minutes after taking medication.
C) Avoid tasks that require high-energy expenditure.
D) Sit on the edge of the bed for 5 minutes before standing.
Explanation: To minimize orthostatic hypotension while taking antihypertensives, the client should sit on the edge of the bed for 5 minutes before standing.
Question 3: Secondary mediators of shock include:
A) Myocardial factor
B) Hypotension
C) Moderate degree of anemia
D) Normoglycemia
Explanation: Secondary mediators of shock include myocardial factors, such as impaired myocardial contractility and reduced cardiac output. These factors contribute to the progression and severity of shock.
Question 4: When caring for a client with a brain attack (stroke), what initial intervention should the nurse expect the healthcare provider to prescribe?
A) IV fluids.
B) Potassium.
C) NPH insulin (Novolin N).
D) No intervention is indicated.
Explanation: The initial intervention for a client with a brain attack (stroke) is the administration of IV fluids to maintain hydration and support blood pressure.
Question 5: When providing dietary teaching about a low-sodium diet for a client with hypertension, which nutrient selection indicates an understanding of foods low in natural sodium?
A) Milk.
B) Meat.
C) Fruits.
D) Vegetables.
Explanation: Fruits and vegetables are generally low in natural sodium and are suitable choices for a low-sodium diet for clients with hypertension.

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