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Questions 148

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Question 1 of 5

A client is scheduled to undergo a bone marrow aspiration from the sternum. What position would the nurse assist the client into for this procedure?

Correct Answer: B

Rationale: The supine position provides optimal access to the sternum for bone marrow aspiration and ensures client safety and comfort.

Question 2 of 5

The nurse is caring for a client who has a lithium level of 2.2 mEq/L. Based on this lab value, what would the nurse anticipate to do in order to care for this client? Select all that apply.

Correct Answer: A, B, E

Rationale: A lithium level of 2.2 mEq/L indicates toxicity (therapeutic range: 0.6–1.2 mEq/L). The nurse should prepare IV fluids, notify the provider, and monitor for symptoms like confusion and slurred speech. A soft diet is unnecessary, and the next dose should be held.

Question 3 of 5

A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

Correct Answer: C

Rationale: The diaphragm is suitable for diabetic clients as it avoids hormonal effects that could impact glucose control.

Question 4 of 5

The nurse is caring for a 42-year-old client who has a do not resuscitate (DNR) order on the chart. The client tells the nurse, 'I've changed my mind about the DNR. I would like to cancel that and be given whatever care is needed to keep me alive.' Which response by the nurse is correct?

Correct Answer: A

Rationale: A DNR can be revoked by the client at any time. Notifying the provider ensures the change is documented and followed.

Question 5 of 5

The nurse is caring for a client admitted with congestive heart failure. Which finding would the nurse expect if the failure was on the right side of the heart?

Correct Answer: A

Rationale: Right-sided heart failure causes systemic venous congestion, leading to jugular vein distention, a hallmark sign of impaired right heart function.

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