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Question 1 of 5

A client had an aortic aneurysm resection two days ago. A complete blood count reveals a decreased red blood cell count. The nursing assessment is MOST likely to reveal which of the following?

Correct Answer: A

Rationale: these 'constitutional symptoms' are characteristic of most types of anemia and are predominantly the result of tissue hypoxia secondary to inadequate red blood cells

Question 2 of 5

The nurse is caring for a client with deep vein thrombosis (thrombophlebitis) of the left leg. Which of the following would be an appropriate nursing goal for this client?

Correct Answer: A

Rationale: important to prevent the complication of pulmonary embolism in clients at high risk

Question 3 of 5

A client has a bovine graft inserted into the left arm for hemodialysis. During the immediate postoperative period, which of the following actions, if performed by the nurse, is BEST?

Correct Answer: B

Rationale: BP should always be taken on the opposite arm from the graft

Question 4 of 5

A client is scheduled to have a parathyroidectomy. The nurse would be MOST concerned if the client was observed eating quantities of food from which of the following food groups?

Correct Answer: A

Rationale: low-calcium diet is recommended preoperatively

Question 5 of 5

The nurse is caring for a 74-year-old man with type I diabetes. The client is scheduled for cataractsurgery under general anesthesia at 9 AM. The man usually receives 30 units of NPH and 10 units of regular insulin each morning at 7 AM. At 7 AM the morning of surgery, the nurse would expect to take which of the following actions?

Correct Answer: A

Rationale: usually use sliding scale with regular insulin based on blood glucose readings

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