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Question 1 of 5

The nurse expects a child with a deficiency in factor VIII to be diagnosed with

Correct Answer: A

Rationale: Factor VIII deficiency causes hemophilia A, a bleeding disorder due to impaired clotting.

Question 2 of 5

The nurse is preparing a 73-year-old client for cataract surgery on the left eye. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Stopping Coumadin without medical guidance is unsafe, as it may increase clotting risk, indicating a need for further teaching.

Question 3 of 5

The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client's intake and output is:

Correct Answer: D

Rationale: Monitoring intake and output during TPN helps prevent fluid overload, a risk due to the high volume and osmolarity of the solution.

Question 4 of 5

The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.

Correct Answer: A,C

Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.

Question 5 of 5

The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT

Correct Answer: D

Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.

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The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?

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