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Question 1 of 5

A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

Correct Answer: C

Rationale: Addison's disease causes sodium loss and potassium retention, so monitoring sodium and potassium levels is essential during glucocorticoid therapy.

Question 2 of 5

A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:

Correct Answer: B

Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.

Question 3 of 5

Following a lumbar puncture, a client develops a severe headache that persists 24 hours and is unrelieved by bedrest or oral fluids. Which of the following interventions does the nurse anticipate?

Correct Answer: C

Rationale: A persistent post-lumbar puncture headache suggests CSF leak, treated with an epidural blood patch (
C). Prolonged bedrest (
A), opioids (
B), or IV fluids (
D) are less effective.

Question 4 of 5

While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

Correct Answer: A

Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.

Question 5 of 5

A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:

Correct Answer: C

Rationale: Acute leukemia causes bone marrow suppression, leading to anemia (pallor) and thrombocytopenia (bleeding), which are critical to monitor.

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A client with cancer is experiencing a common side effect of chemotherapy administration. Which laboratory assessment finding would cause the most concern?

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