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Questions 148

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Question 1 of 5

The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:

Correct Answer: B

Rationale: Cloudy dialysate suggests peritonitis, requiring lab analysis.

Question 2 of 5

Which statement by the client regarding sickle cell disease indicates a need for further teaching?

Correct Answer: B

Rationale: Alcohol, including red wine, can cause dehydration and increase the risk of sickle cell crisis, so it should be avoided. Other statements are correct.

Question 3 of 5

The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client’s international normalized ratio (INR) is 4.5. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: an INR of 4.5 is above the therapeutic range (2.0–3.0), indicating a risk of bleeding; the dose should be withheld and the physician notified

Question 4 of 5

Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?

Correct Answer: C

Rationale: Clubbing of fingers is a sign of chronic hypoxia, indicative of long-standing COPD, unlike wheezing or cough, which can occur in acute or chronic stages.

Question 5 of 5

The physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?

Correct Answer: B

Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection; a hemoglobin of 14.2 g indicates effective correction of anemia.

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