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NO.1 A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing
assessment, which lab value should elicit further assessment and requires notification of physician?
A. Hematocrit 60%
B. White blood cell (WBC) count 10,000 WBCs/mm3
C. Bleeding time of 4 minutes
D. pH 7.39
Answer: A
NCLEX-RN exam
Explanation:
(A) Normal pH of arterial blood gases for an infant is 7.35-7.45. (B) Normal white blood cell count in
an infant is 6,000-17,500 WBCs/mm3. (C) Normal hematocrit in infant is 28%-42%. A 60% hematocrit
may indicate polycythemia, a common complication of cyanotic heart disease. (D) Normal bleeding
time is 2-7 minutes.
NO.2 A depressed client is seen at the mental health center for follow-up after an attempted suicide
1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase
(MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains
that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom
relief is expected to occur within:
A. 2 months
B. 10 days
C. 2-4 weeks
D. 3 months
Answer: C
NCLEX-RN Real Exams
Explanation:
(A) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.
(B) This answer is correct. Because MAO inhibitors are slow to act, it takes 2-4 weeks before
improvement of symptoms is noted.
(C) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication.
(D) This answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drug
therapy.
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