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Questions 158

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Question 1 of 5

The client is admitted with a suspected deep vein thrombosis. Which diagnostic test is most likely to confirm the diagnosis?

Correct Answer: B

Rationale: Venous ultrasound is the most effective test to confirm deep vein thrombosis, visualizing clots in the veins. D-dimer is sensitive but not specific, and chest X-ray and ABGs are irrelevant.

Question 2 of 5

The charge nurse of a medical surgical unit is assigning tasks for the day. Which client care assignments are most appropriate for the unlicensed assistive personnel?

Question Image

Correct Answer: A, C, E

Rationale: UAPs can feed (
A), ambulate (
C), and bathe (E) clients, as these are within their scope. Vital signs on unstable clients (
B) and checking stools for blood (
D) require nursing assessment.

Question 3 of 5

The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupus. The client states, 'I get them whenever I bump into anything.' The nurse would expect to note a decrease in which of the following laboratory tests?

Correct Answer: A

Rationale: Thrombocytopenia, a decrease in platelets, occurs in lupus and causes a decrease in blood coagulation and thrombus formation. Clients with lupus will have a decrease in the WBC count decreasing their resistance to infection. Clients with lupus may have a decrease in the hemoglobin level causing anemia. Leukopenia, a decrease in white blood cells, is seen in lupus and decreases resistance to infection.

Question 4 of 5

The nurse is teaching a client with a history of diabetes about eye care. The nurse should tell the client to:

Correct Answer: A

Rationale: Regular eye exams detect diabetic retinopathy early, preventing vision loss in diabetes.

Question 5 of 5

The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory finding is most concerning?

Correct Answer: A

Rationale: A platelet count of 80 000 indicates thrombocytopenia a serious complication in preeclampsia that increases bleeding risk and may signal HELLP syndrome. The other findings while concerning are less immediately alarming.

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