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Questions 149

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Question 1 of 5

A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

Correct Answer: D

Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.

Question 2 of 5

The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?

Correct Answer: D

Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.

Question 3 of 5

The nurse is preparing to administer a dose of regular insulin to a client based on a sliding scale. The client’s blood glucose is 320 mg/dL. The sliding scale orders 6 units of regular insulin for a blood glucose of 301–350 mg/dL. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: the sliding scale indicates 6 units for a blood glucose of 320 mg/dL, so the dose is correct

Question 4 of 5

The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?

Correct Answer: C

Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.

Question 5 of 5

The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:

Correct Answer: A

Rationale: Setting realistic limits helps manage the manipulative and impulsive behaviors common in antisocial personality disorder, promoting safety and structure.

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