Question 1: A client is admitted with a suspected pulmonary embolism (PE). Which assessment finding requires immediate action?
Rationale: An oxygen saturation of 84% indicates severe hypoxemia, requiring immediate intervention to improve oxygenation.
Question 2: A nurse is caring for a client with a new diagnosis of tuberculosis (TB). Which instruction is most important to include in the teaching?
Rationale: Completing the full course of medication is critical to prevent drug-resistant TB and ensure effective treatment.
Question 3: A client with heart failure is receiving furosemide. Which finding indicates the medication is effective?
Rationale: A weight loss of 2 pounds in 24 hours suggests diuresis and fluid removal, indicating that the furosemide is effective.
Question 4: A client with a history of seizures is prescribed phenytoin. Which statement by the client indicates a need for further teaching?
Rationale: Phenytoin must be taken consistently to maintain therapeutic levels, even if seizures stop.
Question 5: A nurse is preparing to administer potassium chloride intravenously to a client. What is the nurse’s priority action?
Rationale: Potassium chloride must always be administered via an IV pump to ensure controlled infusion and prevent cardiac complications.
