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Questions 176

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Question 1 of 5

A danger following a bone marrow transplantation is graft-host disease. The initial sign of graft-versus-host disease is:

Correct Answer: B

Rationale: A rash is often the earliest sign of graft-versus-host disease, reflecting immune attack on the skin. Other signs may follow but are less initial.

Question 2 of 5

The most important information for the nurse to have when planning care for the client with diabetes is the client's

Correct Answer: B

Rationale: Answer B is correct. The most objective answer is the blood glucose history. Answers A, C, and D are more subjective. This information is reported data.

Question 3 of 5

An adult client has been medicated for elective surgery. The operating room nurse discovers that the consent form for surgery has not been signed. What should the nurse do?

Correct Answer: B

Rationale: Preoperative medications impair judgment, making consent invalid post-administration. Notifying the physician ensures legal and ethical consent is obtained, delaying surgery if needed.

Question 4 of 5

The clinic nurse is reinforcing teaching to a client about the advance directive form that needs to be completed. Which statement indicates that the client understands the information?

Correct Answer: A

Rationale: Giving a copy to the health care proxy (
A) ensures the advance directive is communicated. Doctor approval (
B), refrigerator posting (
C), and nurse witnessing (
D) are incorrect or unnecessary.

Question 5 of 5

The spouse of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which of the following actions by the nurse should be a priority?

Correct Answer: A

Rationale: Assisting caregivers to locate and join support groups is most helpful. Families share feelings and learn about services such as respite care. Health education is also available through local and national Alzheimer's chapters.

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