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Questions 148

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Question 1 of 5

A client confides in the nurse that a close friend recently died from pancreatic cancer. The client asks what the risk factors are for pancreatic cancer. The nurse should respond with

Correct Answer: D

Rationale: Cigarette smoking is a well-established risk factor for pancreatic cancer, increasing risk through carcinogenic exposure.

Question 2 of 5

The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client’s international normalized ratio (INR) is 4.5. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: an INR of 4.5 is above the therapeutic range (2.0–3.0), indicating a risk of bleeding; the dose should be withheld and the physician notified

Question 3 of 5

A client comes into the emergency room after a chemical splashed into her eye at work. The priority nursing intervention is to

Correct Answer: C

Rationale: Immediate irrigation with saline removes the chemical, preventing further eye damage. Other actions follow after irrigation.

Question 4 of 5

A client has been diagnosed with renal insufficiency, which has led to pronounced fluid volume excess. The nurse would expect which of the following signs and symptoms? Select all that apply.

Correct Answer: A,C,E

Rationale: Renal insufficiency causes fluid retention, leading to decreased urine output, jugular vein distention, and tachycardia (compensatory response). Hypotension and weak pulse are more typical of fluid volume deficit.

Question 5 of 5

A client with AIDS tells the nurse that he regularly takes echinacea to boost his immune system. The nurse should tell the client that:

Correct Answer: A

Rationale: Echinacea may interact with antiretroviral medications, potentially reducing their effectiveness.

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