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Questions 157

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Question 1 of 5

The client is complaining of nonspecific body aches, congestion, and coughing. The client's blood pressure is elevated. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: OTC medications (e.g., decongestants) may cause hypertension and symptoms, requiring assessment first. Salt reduction, HCP notification, and long-term education follow.

Question 2 of 5

The client is eight (8) hours postoperative small bowel resection. Which data indicate the client has had a complication from the surgery?

Correct Answer: A

Rationale: A boardlike abdomen suggests peritonitis, a serious post-op complication, requiring immediate attention.

Question 3 of 5

The client diagnosed with stomach cancer has developed disseminated intravascular coagulopathy (DIC). Which collaborative intervention should the nurse expect to implement?

Correct Answer: A

Rationale: Heparin prevents further clotting in DIC, a standard collaborative intervention, per ISTH guidelines.

Question 4 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 5 of 5

The public health nurse is discussing hepatitis with a client who is traveling to a third world country in one (1) month. Which recommendation should the nurse discuss with the client?

Correct Answer: B

Rationale: Hepatitis A vaccination prevents fecal-oral transmission, common in developing countries, per CDC travel guidelines.

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