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Questions 158

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Question 1 of 5

A client with Hodgkin's lymphoma is receiving Platinol (cisplatin). To help prevent nephrotoxicity, the nurse should:

Correct Answer: B

Rationale: Cisplatin is nephrotoxic, and adequate hydration helps dilute the drug and protect the kidneys, reducing the risk of renal damage.

Question 2 of 5

A client with a history of hepatitis C is admitted with complaints of fatigue. The nurse should expect the client to have:

Correct Answer: A

Rationale: Hepatitis C causes liver inflammation, leading to elevated liver enzymes (e.g., AST, ALT), a common finding reflecting hepatic damage.

Question 3 of 5

The nurse is caring for a client with a history of a spinal fusion. The client complains of back pain. The nurse should:

Correct Answer: D

Rationale: Back pain post-spinal fusion may indicate complications like hardware failure or infection, requiring immediate physician notification. Compresses, rest, and acetaminophen are insufficient.

Question 4 of 5

When caring for a client with an anterior cervical discectomy, the nurse should give priority to assessing for post-operative bleeding. The nurse should pay particular attention to:

Correct Answer: D

Rationale: Swelling in the posterior neck may indicate a hematoma, which can compress the airway or spinal cord, making it a priority assessment post-cervical discectomy.

Question 5 of 5

The nurse is caring for a client with a diagnosis of postpartum endometritis. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Postpartum endometritis is a bacterial infection of the uterus treated with antibiotics (e.g. ampicillin gentamicin). Magnesium sulfate methylergonovine and betamethasone are used for other obstetric conditions.

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