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Questions 158

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Question 1 of 5

The best indicator of peripheral edema is determined by:

Correct Answer: D

Rationale: Checking for pitting (indentation after pressing the skin) is the most direct and reliable indicator of peripheral edema. While weight extremity measurement and intake/output are relevant pitting specifically confirms edema.

Question 2 of 5

The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory test is most likely to be ordered?

Correct Answer: D

Rationale: Preeclampsia requires monitoring platelet count (for thrombocytopenia) liver enzymes (for HELLP syndrome) and urinalysis (for proteinuria). All tests are essential to assess disease severity and complications.

Question 3 of 5

A client with a history of rheumatoid arthritis is admitted with complaints of joint pain. The nurse should expect the client to have:

Correct Answer: A

Rationale: Rheumatoid arthritis causes symmetrical joint inflammation, leading to morning stiffness lasting over 30 minutes, a key clinical feature.

Question 4 of 5

Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

Correct Answer: A

Rationale: Succinylcholine chloride relaxes muscles and decreases the intensity of the seizure during electroconvulsive therapy.

Question 5 of 5

A nurse is assisting the physician with chest tube removal. Which client instruction is appropriate during removal of the tube?

Correct Answer: A

Rationale: Taking a deep breath or humming (Valsalva maneuver) during chest tube removal increases intrathoracic pressure, preventing air entry. Holding breath for two minutes (
B) is excessive, exhaling (
C) risks pneumothorax, and deep breathing (
D) is unsafe.

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