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Questions 149

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Question 1 of 5

The home health nurse is planning for the day's visits. Which client should be seen first?

Correct Answer: C

Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.

Question 2 of 5

If both parents are carriers of the defective gene for a disease with an autosomal recessive inheritance, what percentage chance does each child have of inheriting the gene from both parents and developing the disorder? Report your answer using a whole number.

Correct Answer: 25

Rationale: Autosomal recessive inheritance: Each parent has a 50% chance of passing the defective gene, so the child's chance is 0.5 X 0.5 = 0.25 or 25%.

Question 3 of 5

A client with end-stage renal failure receives hemodialysis via an arteriovenous fistula (AV) placed in the right arm. When caring for the client, the nurse should:

Correct Answer: C

Rationale: Auscultating for a bruit confirms AV fistula patency, which is critical for hemodialysis.

Question 4 of 5

The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in:

Correct Answer: B

Rationale: The Whipple procedure is typically performed for pancreatic cancer in the head of the pancreas, involving resection of the pancreatic head, duodenum, and other structures.

Question 5 of 5

A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

Correct Answer: C

Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.

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