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Questions 149

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Question 1 of 5

A nurse is observing a local softball game when one of the players is hit in the nose with a ball. The player's nose is visibly deformed and bleeding. The best way for the nurse to control the bleeding is to:

Correct Answer: D

Rationale: Tilting the head forward and pinching the nostrils prevents blood from entering the airway and controls bleeding.

Question 2 of 5

A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?

Correct Answer: C

Rationale: The usual diet is less directly related to diagnosing intussusception compared to symptoms like pain, vomiting, or abdominal changes.

Question 3 of 5

The nurse is taking the blood pressure of the obese client. If the blood pressure cuff is too small, the results will be:

Correct Answer: A

Rationale: A blood pressure cuff that is too small will result in a false elevation of the blood pressure reading due to increased pressure on the arm.

Question 4 of 5

The nurse is caring for a client with systemic lupus erythematosis (SLE). The major complication associated with systemic lupus erythematosis is:

Correct Answer: A

Rationale: Nephritis is the major complication of SLE due to immune complex deposition in the kidneys, leading to lupus nephritis, which can cause renal failure if untreated.

Question 5 of 5

Which client is at the greatest risk of developing colon cancer?

Correct Answer: C

Rationale: Previous cancer history, especially treated with chemotherapy, increases colon cancer risk due to potential genetic or environmental factors. Age over 50 also elevates risk.

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