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Questions 148

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Question 1 of 5

A client has been receiving cyanocobalamine (B12) injections for the past six weeks. Which laboratory finding indicates that the medication is having the desired effect?

Correct Answer: D

Rationale: Increased reticulocyte count indicates effective B12 therapy for anemia.

Question 2 of 5

Cystic fibrosis is an exocrine disorder that affects several systems of the body. The earliest sign associated with a diagnosis of cystic fibrosis is:

Correct Answer: D

Rationale: Meconium ileus, a bowel obstruction at birth, is often the earliest sign of cystic fibrosis in newborns.

Question 3 of 5

The nurse is caring for a 9-year-old child admitted with asthma. Upon the morning rounds, the nurse finds an O2 sat of 78%. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: An O2 sat of 78% indicates severe hypoxemia, so applying oxygen is the first action to stabilize the child.

Question 4 of 5

A client has recently been diagnosed with open-angle glaucoma. The nurse should tell the client to avoid taking:

Correct Answer: B

Rationale: Benadryl, an antihistamine, can increase intraocular pressure, worsening open-angle glaucoma, and should be avoided.

Question 5 of 5

The RN is making assignments for the day. Which one of the following duties can be assigned to the unlicensed assistive personnel?

Correct Answer: B

Rationale: Unlicensed assistive personnel can perform routine catheter care, a non-invasive task within their scope.

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