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Questions 148

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Question 1 of 5

A client with schizophrenia has been taking Clozaril (clozapine) for the past 6 months. This morning the client's temperature was elevated to 102°F. The nurse should give priority to:

Correct Answer: C

Rationale: A fever of 102°F in a client on clozapine may indicate agranulocytosis, a life-threatening side effect, requiring immediate physician notification.

Question 2 of 5

A client confides in the nurse that a close friend recently died from pancreatic cancer. The client asks what the risk factors are for pancreatic cancer. The nurse should respond with

Correct Answer: D

Rationale: Cigarette smoking is a well-established risk factor for pancreatic cancer, increasing risk through carcinogenic exposure.

Question 3 of 5

A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session?

Correct Answer: B

Rationale: Renal biopsies may cause discomfort during needle insertion, and informing the client prepares them for the procedure.

Question 4 of 5

Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered brain death), within what time period should the heart and lungs be transplanted?

Correct Answer: A

Rationale: Heart and lungs have a short ischemic tolerance, requiring transplantation within 4-6 hours (
A) to ensure viability. Longer periods (B, C,
D) risk organ failure.

Question 5 of 5

The nurse administers 6 units of Humalog (lispro) insulin sub-q to a client at 8:30 a.m. The nurse knows to reassess the client and check for a possible hypoglycemic reaction at

Correct Answer: B

Rationale: Humalog (lispro) is rapid-acting insulin with a peak effect at 1-2 hours. Checking at 9:30 a.m. (1 hour post-administration) aligns with the onset of action to monitor for hypoglycemia.

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