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Questions 149

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Question 1 of 5

Heparin has been ordered for a client with pulmonary embolis. Which statement, if made by the graduate nurse, indicates a lack of understanding of the medication?

Correct Answer: D

Rationale: Aspirating during heparin injection is incorrect, as it increases the risk of hematoma formation in subcutaneous administration.

Question 2 of 5

Two Mexican immigrant families live closely together and share goods, services, and childcare. To which of the following family structures does this model correspond?

Correct Answer: A

Rationale: A kinship network (
A) involves close family units sharing resources, typical in some Mexican cultures. Extended (
D) is broader, nuclear (
C) is single-family, and binuclear (
B) involves divorce.

Question 3 of 5

A client with deep vein thrombosis is receiving a continuous heparin infusion and Coumadin PO. INR lab test result is 8.0. Which intervention would be most important to include in the nursing care plan?

Correct Answer: A

Rationale: An INR of 8.0 is dangerously high, indicating a risk of bleeding. Assessing for abnormal bleeding is the priority to detect and manage potential complications.

Question 4 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 5 of 5

If a client with psoriasis is to begin NB-UVB phototherapy, how long should the initial treatment be?

Correct Answer: A

Rationale: Initial NB-UVB phototherapy starts with 30 seconds to 1 minute (
A) to assess skin tolerance and prevent burns. Longer durations (B, C,
D) are used in subsequent sessions.

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