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Questions 149

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Question 1 of 5

A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

Correct Answer: A

Rationale: Monthly Protime tests monitor the therapeutic effect of warfarin and prevent bleeding complications.

Question 2 of 5

Which assessment finding would the nurse expect in a client with long-term venous insufficiency with the presence of a venous ulcer?

Correct Answer: B

Rationale: Venous insufficiency causes stasis ulcers, typically over the medial malleolus, due to venous pooling and tissue breakdown.

Question 3 of 5

A client's serum sodium level is 113 mEq/L. The nurse would expect which findings upon assessment?

Correct Answer: A

Rationale: Severe hyponatremia (113 mEq/L) causes neurological symptoms like headache, confusion, muscle weakness, and fatigue due to cerebral edema.

Question 4 of 5

The nurse is doing hourly rounds when he finds a 73-year-old female client unconscious on the floor next to the bed. An incident report must be filled out. What is the best statement for the nurse to write on the incident report?

Correct Answer: B

Rationale: The incident report should state objective findings: 'Client was found unresponsive on floor next to the bed.' Speculative statements (slipped, attempted to ambulate) are inappropriate.

Question 5 of 5

The client with varicella will most likely have an order for which category of medication?

Correct Answer: C

Rationale: Varicella (chickenpox) is a viral infection, and antivirals like acyclovir are commonly prescribed to reduce severity and duration.

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