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Questions 149

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Question 1 of 5

The complete blood count of a client admitted with anemia reveals that the red blood cells are hypochromic and microcytic. The nurse recognizes that the client has:

Correct Answer: B

Rationale: Hypochromic, microcytic red blood cells are characteristic of iron-deficiency anemia, caused by insufficient iron for hemoglobin synthesis.

Question 2 of 5

A client with pancreatitis has been transferred to the intensive care unit. The nurse assesses a pulmonary arterial wedge pressure (PAWP) of 14 mmHg. Based on this finding, the nurse would want to further assess for:

Correct Answer: B

Rationale: A PAWP of 14 mmHg is slightly elevated, suggesting possible fluid overload, which could lead to pulmonary edema, indicated by rales on chest auscultation.

Question 3 of 5

The physician has ordered Amoxil (amoxicillin) 500 mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by:

Correct Answer: D

Rationale: Capsules can be difficult to swallow and may lodge in esophageal varices, increasing the risk of bleeding. An alternate form, such as a liquid, is safer.

Question 4 of 5

A diabetic client self-administers insulin four times daily. Which of the following statements by the client indicates the need for further education?

Correct Answer: A

Rationale: Flushing needles down the toilet (
A) is unsafe and improper disposal; needles should be placed in a sharps container. Carrying glucose tablets (
B), occasional desserts (
C), and avoiding sandals (
D) are appropriate for diabetes management.

Question 5 of 5

A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

Correct Answer: C

Rationale: Miotics constrict the pupils, increasing aqueous humor outflow to reduce intraocular pressure in glaucoma.

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