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Questions 148

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Question 1 of 5

A.ls with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

Correct Answer: D

Rationale: Leucovorin calcium is given as a rescue therapy to reverse the toxic effects of trimetrexate, protecting healthy cells from damage.

Question 2 of 5

The nurse is caring for a client with a history of spinal cord injury who is admitted with a urinary tract infection. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: antibiotics are the primary treatment for a urinary tract infection

Question 3 of 5

The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?

Correct Answer: E

Rationale: A wound with eschar covering the bed is unstageable because the depth cannot be assessed until the eschar is removed.

Question 4 of 5

A neurological consult has been ordered for a pediatric client with suspected absence seizures. The client with absence seizures can be expected to have:

Correct Answer: D

Rationale: Absence seizures cause brief lapses in consciousness, often appearing as staring spells, without motor symptoms.

Question 5 of 5

The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:

Correct Answer: C

Rationale: Sitz baths relieve episiotomy pain by promoting circulation and healing.

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