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Questions 148

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Question 1 of 5

A client is admitted to the medical-surgical unit with a report of severe hematemesis. The nurse should give priority to:

Correct Answer: C

Rationale: Severe hematemesis indicates significant bleeding, requiring immediate IV access with a large-bore needle for fluid and blood resuscitation to stabilize the client.

Question 2 of 5

A.ls with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

Correct Answer: D

Rationale: Leucovorin calcium is given as a rescue therapy to reverse the toxic effects of trimetrexate, protecting healthy cells from damage.

Question 3 of 5

The doctor has prescribed Cortone (cortisone) for a client with systemic lupus erythematosis. Which instruction should be given to the client?

Correct Answer: B

Rationale: Cortisone can cause weight gain and appetite changes, which should be monitored in SLE to manage side effects.

Question 4 of 5

A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?

Correct Answer: A

Rationale: abnormal finding, could indicate gestational diabetes (GDM), hazard of placental insufficiency

Question 5 of 5

The nurse is talking to a client and his family about hepatitis. Which of the following statements by a family member indicate understanding of the nurse's teaching? Select all that apply.

Correct Answer: A, B, D, E

Rationale: Hepatitis D requires hepatitis B, hepatitis A is year-round and spread via contaminated food/water, and hepatitis B is transmitted through blood/body fluids. Hepatitis D is not waterborne.

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