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Extract:


Question 1 of 5

An adult is admitted with arteriosclerosis obliterans. Which finding would the nurse most expect to see in this client?

Correct Answer: D

Rationale: Arteriosclerosis obliterans reduces arterial blood flow, causing cool extremities, especially in the legs. Swelling is more related to venous issues, cold-induced hand pain suggests Raynaud's, and BP is unrelated.

Question 2 of 5

An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?

Correct Answer: B

Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.

Extract:

A patient who has recently experienced a thrombotic CVA


Question 3 of 5

A patient who has recently experienced a thrombotic CVA will most likely receive which of the following treatments?

Correct Answer: C

Rationale: Heparin is used to prevent further clot formation in thrombotic CVA.

Extract:


Question 4 of 5

Which of the following indicates a hazard for a client on oxygen therapy?

Correct Answer: B

Rationale: Synthetic gowns can generate static electricity, posing a fire hazard with oxygen. The other options are safety measures that reduce fire risk. Reduction of Risk Potential

Question 5 of 5

The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?

Correct Answer: C

Rationale: Swelling of lower extremity. The most common signs of deep vein thrombosis are pain in the region of the thrombus and unilateral swelling distal to the site.

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