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Questions 148

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Question 1 of 5

A client has recently lost her best friend to cancer. The client tells the nurse, 'I'm very sad about the loss of my friend.' Which of the following responses by the nurse is the most appropriate?

Correct Answer: D

Rationale: This response validates the client’s grief and encourages her to share, promoting therapeutic communication and emotional support.

Question 2 of 5

Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?

Correct Answer: C

Rationale: Clubbing of fingers is a sign of chronic hypoxia, indicative of long-standing COPD, unlike wheezing or cough, which can occur in acute or chronic stages.

Question 3 of 5

The client has an order for FeSO4 liquid. Which method of administration would be best?

Correct Answer: C

Rationale: Administering FeSO4 with orange juice enhances iron absorption due to its vitamin C content.

Question 4 of 5

The nurse is providing instruction to a client's family regarding home safety with thrombocytopenia. Which statement by the client's family indicates a need for further education?

Correct Answer: D

Rationale: Rugs pose a tripping hazard, increasing bleeding risk in thrombocytopenia. Other statements reflect safe practices to minimize bleeding.

Question 5 of 5

The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by constricting cerebral blood vessels. Which physician order would serve this purpose?

Correct Answer: A

Rationale: Hyperventilation reduces PaCO2, causing cerebral vasoconstriction, which decreases cerebral blood flow and edema. The other options address pressure or fluid but not vasoconstriction.

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