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Questions 157

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Extract:


Question 1 of 5

The 24-year-old African American female client tells the nurse she has a brother with sickle cell disease. She is engaged to be married and is concerned about giving this disease to her future children. Which information is most important to provide to the client?

Correct Answer: C

Rationale: Genetic counseling assesses carrier status and risks for sickle cell disease, the most proactive step.

Question 2 of 5

The nurse is initiating a blood transfusion. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,B,E

Rationale: Lung assessment monitors for transfusion reactions, consent ensures informed care, and order verification confirms accuracy.

Question 3 of 5

The unlicensed assistive personnel (UAP) notifies the nurse the client diagnosed with chronic obstructive pulmonary disease is complaining of shortness of breath and would like his oxygen level increased. Which intervention should the nurse implement?

Correct Answer: C

Rationale: A pulse oximeter reading assesses oxygenation status, guiding whether oxygen adjustment is needed.

Question 4 of 5

The nurse is admitting the client to a medical unit. Which questions should the nurse specifically ask the client about the current use of medications? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: All questions are essential for a comprehensive medication history: herbs (drug interactions), OTC meds (side effects), allergies (safety), timing (dosing), and prescriptions (treatment plan).

Question 5 of 5

The client diagnosed with end-stage congestive heart failure is being cared for by the home health nurse. Which intervention should the nurse teach the caregiver?

Correct Answer: B

Rationale: Weight gain >3 lb/week indicates fluid retention in CHF, requiring HCP notification to adjust therapy.

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