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Questions 164

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Question 1 of 5

A client is admitted with pernicious anemia. The client reports all of the following. Which is most likely related to the admitting diagnosis?

Correct Answer: B

Rationale: Pernicious anemia, due to vitamin B12 deficiency, often causes a sore, red, beefy tongue. Diarrhea, bruising, or fever are less specific.

Question 2 of 5

The nurse on a pediatric unit is caring for a 2-year-old client. Which of the following interventions are appropriate to reduce the distress of hospitalization on the child? Select all that apply.

Correct Answer: B,C,E

Rationale: Maintaining sleep routines, offering preferred snacks, and providing toy choices reduce distress by promoting familiarity and autonomy. Leaving alone or discussing body changes may increase anxiety.

Question 3 of 5

The nurse talking with a client with polycythemia vera. Which of the following statements by the client would require follow-up?

Correct Answer: D

Rationale: Iron supplements can worsen polycythemia vera by increasing red blood cell production. Hydration, aspirin, and phlebotomy are appropriate management strategies.

Question 4 of 5

The nurse is caring for a client with Grave's disease. Which finding would indicate a complication of the client's disease?

Correct Answer: C

Rationale: Shortness of breath may indicate thyroid storm, a life-threatening complication of Grave's disease. Fatigue and increased heart rate are common symptoms, and urinary frequency is unrelated.

Question 5 of 5

What should the nurse do when ambulating a client who has a portable wound drainage system?

Correct Answer: B

Rationale: Fastening the drainage device below the wound promotes gravity-dependent drainage, preventing reflux and infection during ambulation.

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