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Questions 149

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Question 1 of 5

A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?

Correct Answer: C

Rationale: The ABCs of trauma care prioritize airway, breathing, and circulation. Establishing an airway comes first, followed by controlling hemorrhage and preventing shock, then assessing for head injuries.

Question 2 of 5

A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:

Correct Answer: D

Rationale: Rising blood pressure is a sign of renal transplant rejection due to impaired kidney function and fluid retention.

Question 3 of 5

The nurse is caring for a client receiving pantoprazole. The nurse understands that long-term use of proton pump inhibitors increases the risk of which serious side effects? Select all that apply.

Correct Answer: D,E

Rationale: Long-term PPI use increases the risk of rhabdomyolysis and long bone fractures due to nutrient malabsorption and muscle damage. Nausea, depression, and constipation are less associated.

Question 4 of 5

A pneumonectomy is performed on a client with lung cancer. Which of the following would probably be omitted from the client's plan of care?

Correct Answer: A

Rationale: After a pneumonectomy, the affected lung is removed, and the pleural space fills with fluid naturally, so closed chest drainage is typically not used, unlike in other lung surgeries.

Question 5 of 5

The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:

Correct Answer: B

Rationale: Tis indicates a tumor in situ, meaning it is noninvasive and confined to its original site, requiring specific care planning.

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