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Questions 164

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Extract:

Laboratory results
WBC
5000-10,000/mm³
(5-10 × 10⁹/L) 1400/mm3
(1.4 × 109/L)
Hemoglobin
Male: 14-18 g/dL
(140-180 g/L)

Female: 12-16 g/dL
(120-160 g/L) 10 g/dL
(100 g/L)
Absolute neutrophil count
2500-8000/mm³
(2.5-8 × 10⁹/L) 500/mm3
(0.5 × 109/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 3.4 mEq/L
(3.4 mmol/L)
Platelets
150,000-400,000/mm³
(150-400 × 10⁹/L) 150,000/mm3
(150 × 109/L)


Question 1 of 5

A client in the hospital is receiving chemotherapy. Based on today’s blood laboratory results, which of the following actions should the nurse take?

Correct Answer: D

Rationale: Chemotherapy often causes neutropenia, increasing infection risk. A face mask (
D) protects the client. Hematuria (
A), peaked T waves (
B), and epoetin (
C) address other issues not directly indicated.

Extract:


Question 2 of 5

When teaching parents about sickle cell disease, the nurse should tell them that their child's anemia is caused by

Correct Answer: B

Rationale: An imbalance between red cell destruction and production. Anemia results when the rate of red cell destruction exceeds the rate of production through stimulated erythropoiesis in bone marrow (red cell life span shortened from 120 days to 12-20 days).

Question 3 of 5

The nurse is caring for a client with COPD who becomes dyspneic. The nurse should

Correct Answer: C

Rationale: Use pursed-lip breathing during periods of dyspnea to control rate and depth of respiration and improve respiratory muscle coordination.

Question 4 of 5

The nurse is talking with a client with macular degeneration. Which of the following statements by the client would be consistent with the condition?

Correct Answer: C

Rationale: Macular degeneration affects central vision, causing a blurry or dark spot in the visual field, as described in (
C), due to damage to the macula. Flashes of light (
A) suggest retinal issues, peripheral vision loss (
B) is typical of glaucoma, and difficulty reading up close (
D) relates to presbyopia.

Question 5 of 5

To maintain Bryant's traction, the nurse must make certain that the child's:

Correct Answer: B

Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to align the femur properly and reduce pressure on the pelvis.

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