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Questions 149

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Question 1 of 5

A client is admitted with sickle cell crises and sequestration. Upon assessing the client, the nurse would expect to find:

Correct Answer: A

Rationale: Sickle cell crisis with sequestration can lead to hypovolemia due to blood pooling in organs, resulting in decreased blood pressure.

Question 2 of 5

The physician has inserted an esophageal balloon tamponade in a client with bleeding esophageal varices. The nurse should maintain the esophageal balloon at a pressure of:

Correct Answer: D

Rationale: A pressure of 20-25 mmHg effectively compresses varices to control bleeding without causing tissue damage.

Question 3 of 5

The nurse recognizes that if eaten by a client, which food can alter results when stool is checked for occult blood?

Correct Answer: D

Rationale: Beef contains heme, which can cause a false-positive result in a fecal occult blood test. Other foods listed do not typically interfere.

Question 4 of 5

The nurse is caring for a client with bulimia nervosa. The nurse recognizes that the major difference in the client with anorexia nervosa and the client with bulimia nervosa is the client with bulimia:

Correct Answer: C

Rationale: Clients with bulimia often recognize their eating disorder, unlike those with anorexia, who may deny the problem due to distorted body image.

Question 5 of 5

The nurse is caring for an adolescent with a 5-year history of bulimia. A common clinical finding in the client with bulimia is:

Correct Answer: B

Rationale: Dental caries are common in bulimia due to frequent vomiting, which exposes teeth to stomach acid, causing enamel erosion.

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