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Questions 148

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Question 1 of 5

A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph nodes in the axilla and neck. Which exam would assist the physician to make a tentative diagnosis of leukemia?

Correct Answer: A

Rationale: A complete blood count (CB
C) is the initial test for leukemia, revealing abnormal white blood cell counts, anemia, or thrombocytopenia, supporting a tentative diagnosis.

Question 2 of 5

A 19-year-old female comes into the women's clinic for an STD test. The nurse explains all of the following confirmed cases of STDs must be reported to the Centers for Disease Control (CDC) EXCEPT

Correct Answer: A

Rationale: Chlamydia, gonorrhea, and hepatitis B are reportable to the CDC. Genital herpes is not nationally reportable, though local regulations may vary.

Question 3 of 5

The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:

Correct Answer: C

Rationale: Sitting in a straight chair can compress the graft, impairing blood flow, and should be avoided to promote graft patency.

Question 4 of 5

The nurse is caring for a client with rheumatoid arthritis. The nurse knows that the client's symptoms will be most improved by:

Correct Answer: A

Rationale: A warm shower reduces morning stiffness in rheumatoid arthritis by improving joint mobility and reducing inflammation.

Question 5 of 5

The nurse is caring for a client scheduled for a surgical repair of an abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

Correct Answer: C

Rationale: Identifying peripheral pulses is critical to establish a baseline for vascular status, as an abdominal aortic aneurysm repair can affect blood flow to the extremities, and postoperative complications may include vascular occlusion.

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