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Questions 148

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Question 1 of 5

A client has surgery scheduled in 2 weeks. He decides to donate his own blood ahead of time to be stored and used in case he needs a blood transfusion during his surgery. This type of blood donation is referred to as

Correct Answer: C

Rationale: Autologous donation involves donating one’s own blood for personal use during surgery, reducing transfusion risks.

Question 2 of 5

A 6-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

Correct Answer: A

Rationale: A colorful crib mobile is age-appropriate and safe for a 6-month-old on bed rest, providing visual stimulation.

Question 3 of 5

The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

Correct Answer: A

Rationale: Hematuria in a client with pelvic and femur fractures suggests possible urinary tract or bladder injury, requiring immediate reporting.

Question 4 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 5 of 5

A client who was prescribed increasing dosages of baclofen to relieve muscle spasms should have taken 80 mg daily in 4 divided doses but misunderstood and took 80 mg four times a day, resulting in an overdose and pronounced CNS depression. Which of the following treatments does the nurse anticipate?

Correct Answer: C

Rationale: Baclofen overdose causes CNS depression, treated with supportive care (
C) like ventilation and monitoring. Naloxone (
A), atropine (
B), and flumazenil (
D) are not antidotes for baclofen.

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