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Questions 227

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Extract:


Question 1 of 5

A Schilling test has been ordered for a client. What is the nurse's primary responsibility in relation to this test?

Correct Answer: B

Rationale: The Schilling test, used to diagnose pernicious anemia, requires a 24-hour urine collection to measure vitamin B12 absorption after radioactive B12 administration. Blood, x-rays, or enemas are not involved.

Question 2 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.

Extract:

Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.


Question 3 of 5

As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:

Correct Answer: C

Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.

Extract:

If your patient is in pain most of the day, administer analgesic doses


Question 4 of 5

If your patient is in pain most of the day, administer analgesic doses

Correct Answer: B

Rationale: Regularly scheduled analgesics maintain consistent pain control.

Extract:


Question 5 of 5

The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?

Correct Answer: B

Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.

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