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Questions 149

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Extract:


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

The best size cathlon for administration of a blood transfusion to a six year old is:

Correct Answer: D

Rationale: A 20-gauge catheter is appropriate for blood transfusion in a six-year-old, balancing flow rate and vessel size.

Question 3 of 5

The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?

Correct Answer: B

Rationale: An RN has the authority to initiate seclusion based on clinical judgment.

Question 4 of 5

The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?

Correct Answer: C

Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.

Question 5 of 5

The nurse is assessing a client who is 36 hours postpartum. Which of the following findings would indicate a need for further evaluation?

Correct Answer: D

Rationale: a temperature of 100.4°F may indicate infection, such as endometritis, and requires further evaluation

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