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Questions 149

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Question 1 of 5

The nurse caring for a client diagnosed with metastatic cancer of the bone is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?

Correct Answer: B

Rationale: Bone metastasis often causes hypercalcemia (calcium 13 mg/dL is elevated), leading to confusion and hypertension. The other values are normal or unrelated.

Question 2 of 5

A primigravida with(choices truncated due to document error; assuming standard options for context) diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor's order should the nurse question?

Correct Answer: B

Rationale: Brethine (terbutaline) is a tocolytic that can exacerbate maternal diabetes by causing hyperglycemia, so this order should be questioned in a diabetic primigravida.

Question 3 of 5

An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?

Correct Answer: B

Rationale: Bright red urine with many clots indicates significant bleeding, a potential emergency post-transurethral prostatectomy, requiring immediate reporting.

Question 4 of 5

The nurse has documented a treatment on the wrong client's record. Which of the following methods of indicating the error is correct?

Correct Answer: A

Rationale: A single line through the error with 'error' written above and initialed (
A) maintains transparency while correcting the record. Correction fluid (
B) is unacceptable, multiple lines (
C) obscure the record, and margin notes (
D) are insufficient.

Question 5 of 5

A client is admitted to the unit 2 hours after an injury with second-degree burns to the face, trunk, and head. The nurse would be most concerned with the client developing what?

Correct Answer: B

Rationale: Laryngeal edema is a critical concern with facial and head burns due to the risk of airway obstruction.

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