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Questions 158

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Question 1 of 5

The client is diagnosed with pancreatitis. Which laboratory value is most indicative of this condition?

Correct Answer: A

Rationale: Elevated amylase is a key indicator of pancreatitis, as it is released from damaged pancreatic tissue. Bilirubin, hemoglobin, and white blood cell counts are less specific, though leukocytosis may occur.

Question 2 of 5

Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?

Correct Answer: A

Rationale: A common side effect of gentamicin is nephrotoxicity. The serum laboratory test that best reflects kidney function is serum creatinine.

Question 3 of 5

A client with a history of chronic lymphocytic leukemia is admitted with complaints of lymphadenopathy. The nurse should give priority to:

Correct Answer: A

Rationale: Lymphadenopathy in chronic lymphocytic leukemia increases infection risk, so monitoring for infection is the priority.

Question 4 of 5

The nurse is preparing a client with an axillopopliteal bypass graft for discharge. The client should be taught to avoid:

Correct Answer: C

Rationale: Clients with an axillopopliteal bypass graft should avoid prolonged sitting in a straight chair, as it can compress the graft and impair blood flow. Reclining, supine, or Sim’s positions are less likely to compromise the graft.

Question 5 of 5

A client with BPH has undergone a TURP. Which nursing interventions are parts of the client's post-operative care?

Question Image

Correct Answer: A, B, D

Rationale: Post-TURP care includes monitoring vital signs (
A), constant bladder irrigation (
B) to prevent clots, and checking for bleeding (
D). Fluid intake is encouraged (
C), and bed rest is typically 24 hours (E).

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