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Free NCLEX-RN Exam Braindumps (page: 227)

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PDF with 862 Questions

In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:

  1. Furosemide
  2. Nitroglycerin
  3. Lidocaine
  4. Digoxin

Answer(s): C

Explanation:

(A) Furosemide is a loop diuretic. (B) Nitroglycerin is a vasodilator. (C) Lidocaine is the drug of choice to treat ectopic ventricular beats. (D) Digoxin slows down the electrical impulses and increases ventricular contractions, but it does not rapidly correct ventricular ectopy.



In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:

  1. Furosemide
  2. Nitroglycerin
  3. Lidocaine
  4. Digoxin

Answer(s): C

Explanation:

(A) Furosemide is a loop diuretic. (B) Nitroglycerin is a vasodilator. (C) Lidocaine is the drug of choice to treat ectopic ventricular beats. (D) Digoxin slows down the electrical impulses and increases ventricular contractions, but it does not rapidly correct ventricular ectopy.



A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

  1. Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.
  2. Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
  3. Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.
  4. Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.

Answer(s): D

Explanation:

(A) Because the child's appetite is capricious at best, regular servings may be overwhelming. Praise the child for what is eaten. (B) The child will soon learn that procedures follow meals and may play with food rather than eat it to avoid or delay the procedure. (C) Young children usually do not like highly seasoned foods and may need the security of usual foods. Such a change may actually increase anorexia. (D) Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security.



A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

  1. Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.
  2. Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
  3. Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.
  4. Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.

Answer(s): D

Explanation:

(A) Because the child's appetite is capricious at best, regular servings may be overwhelming. Praise the child for what is eaten. (B) The child will soon learn that procedures follow meals and may play with food rather than eat it to avoid or delay the procedure. (C) Young children usually do not like highly seasoned foods and may need the security of usual foods. Such a change may actually increase anorexia. (D) Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security.






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