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Questions 149

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Question 1 of 5

The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevated temperature is that:

Correct Answer: B

Rationale: Infection from abrasions is the most likely cause of fever post-accident, as it's a common complication.

Question 2 of 5

The nurse is preparing to discharge a client diagnosed with gout. Which statement by the client indicates understanding of dietary restrictions while managing gout?

Correct Answer: A

Rationale: Beer, anchovies, and liver are high in purines, which can exacerbate gout, making avoidance appropriate.

Question 3 of 5

A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

Correct Answer: B

Rationale: Lovenox is injected into the abdomen to ensure proper subcutaneous absorption and minimize bruising.

Question 4 of 5

Which of the following best describes the language of a 24-month-old?

Correct Answer: C

Rationale: A 24-month-old can verbalize needs using simple words or phrases, reflecting their developing language skills.

Question 5 of 5

The physician has prescribed Chloromycetin (chloramphenicol) for a client with bacterial meningitis. Which lab report should the nurse monitor most carefully?

Correct Answer: C

Rationale: Chloramphenicol can cause bone marrow suppression, so monitoring the complete blood count is critical.

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