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Question 1 of 5

The client who is admitted with thrombophlebitis has an order for heparin. The medication should be administered using a/an:

Correct Answer: B

Rationale: An infusion controller ensures precise heparin delivery, critical for maintaining therapeutic levels and preventing complications.

Question 2 of 5

A mother asks the home health nurse for guidance on what foods are safe to give her child, who is on strict neutropenic precautions. The nurse looks at the mother's grocery list and advises her to avoid

Correct Answer: C

Rationale: Neutropenic precautions require avoiding fresh, unprocessed foods (e.g., fresh veggies) due to bacterial risk. Canned, pasteurized, or peeled foods are safer.

Question 3 of 5

The nurse reviews a 21-year-old female's bloodwork from the lab. Which result would be charted as an abnormal finding?

Correct Answer: C

Rationale: WBC 15.6 (normal 4.5-11.0 x 10³/μL) is elevated, indicating possible infection or inflammation. Platelets (150-450 x 10³/μL) are slightly low, RBC (4.2-5.4 million/μL) and hematocrit (36-46%) are normal for females.

Question 4 of 5

The nurse is caring for a client with a wound with purulent, foul-smelling drainage. A wound culture is ordered. Which describes the correct collection technique?

Correct Answer: A

Rationale: Cleaning the wound with saline removes surface contaminants, ensuring an accurate culture from viable tissue.

Question 5 of 5

Which finding is associated with Tay Sachs disease?

Correct Answer: B

Rationale: Cherry-red spots on the macula are a classic finding in Tay-Sachs disease due to lipid accumulation in retinal ganglion cells.

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The nurse is caring for a client on airborne precautions. Which of the following would the nurse expect to see in the client's medical record?

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