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Questions 157

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Question 1 of 5

The client is admitted to the intensive care unit diagnosed with rule-out adult respiratory distress syndrome (ARDS). The client is receiving 10 L/min of oxygen via nasal cannula. Which arterial blood gases indicate the client does not have ARDS?

Correct Answer: A

Rationale: Normal ABGs (pH 7.38, PaO2 82) rule out ARDS, which causes severe hypoxemia (PaO2 <60).

Question 2 of 5

The client diagnosed with Stage IV prostate cancer is receiving chemotherapy. Which laboratory value should the nurse assess prior to administering the chemotherapy?

Correct Answer: C

Rationale: CBC assesses bone marrow suppression (e.g., neutropenia, anemia), a chemotherapy risk, ensuring safe administration.

Question 3 of 5

The 44-year-old female client calls the clinic and tells the nurse she felt a lump while performing breast self-examination (BSE). Which question should the nurse ask the client?

Correct Answer: C

Rationale: The timing of the last menstrual period helps correlate the lump with hormonal changes, which can cause benign cysts, guiding further evaluation.

Question 4 of 5

The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?

Correct Answer: C

Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.

Question 5 of 5

The 28-year-old client diagnosed with testicular cancer is scheduled for a unilateral orchiectomy. Which intervention should have priority in the client's plan of care?

Correct Answer: A

Rationale: Sperm banking is the priority pre-orchiectomy to preserve fertility, especially in young clients, per oncology guidelines.

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