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Questions 227

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Extract:

Leno, 35-year-old of African descent, came to USA to visit his family. He was admitted in the hospital due to exacerbation of sickle cell.


Question 1 of 5

During the vaso-occlusive crisis, which of the following nursing interventions is a priority?

Correct Answer: A

Rationale: IV fluids, analgesia, and oxygen address hydration, pain, and oxygenation, which are critical during a vaso-occlusive crisis.

Extract:

An assessment of a 6-month-old infant's growth and development level should reveal that the infant can:


Question 2 of 5

An assessment of a 6-month-old infant's growth and development level should reveal that the infant can:

Correct Answer: D

Rationale: At 6 months, infants can hold a bottle, a developmental milestone.

Extract:


Question 3 of 5

The nurse is supervising an unlicensed person who is giving oral care to an unconscious client. Which observation indicates that the unlicensed person needs further instruction?

Correct Answer: B

Rationale: An upright position risks aspiration in an unconscious client; lateral positioning with head turned prevents this, indicating a need for instruction.

Question 4 of 5

Which client is at risk for the development of pernicious anemia?

Correct Answer: A

Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.

Question 5 of 5

While assessing a client with AIDS, the nurse notes a reddish-purple discoloration on the client's eyelid. This finding is most consistent with:

Correct Answer: D

Rationale: Kaposi's sarcoma, common in AIDS, presents as reddish-purple lesions, including on the eyelid. Other conditions affect the retina or eyelid structure differently.

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