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Questions 149

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Question 1 of 5

The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

Correct Answer: C

Rationale: Halo traction is used for cervical fractures and can be maintained post-discharge for stabilization.

Question 2 of 5

A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

Correct Answer: C

Rationale: Prior radiation therapy, especially for Hodgkin's disease, is a known risk factor for developing leukemia due to DNA damage in bone marrow cells.

Question 3 of 5

The nurse is preparing to administer a dose of regular insulin to a client based on a sliding scale. The client’s blood glucose is 320 mg/dL. The sliding scale orders 6 units of regular insulin for a blood glucose of 301–350 mg/dL. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: the sliding scale indicates 6 units for a blood glucose of 320 mg/dL, so the dose is correct

Question 4 of 5

A client suspected of having Alzheimer's disease is evaluated using the Mini-Mental State Examination. At the beginning of the evaluation, the examiner names three objects. Later in the evaluation, he asks the client to name the same three objects. The examiner is testing the client's:

Correct Answer: C

Rationale: Recalling three objects tests short-term memory (recall), a key component assessed in the Mini-Mental State Examination for Alzheimer's.

Question 5 of 5

The nurse is formulating a plan of care for a client with a goiter. The priority nursing diagnosis for the client with a goiter is:

Correct Answer: D

Rationale: A goiter can compress the trachea, posing a risk for airway obstruction, making ineffective airway clearance the priority nursing diagnosis.

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