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Questions 176

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Extract:

Laboratory reference ranges
INR (Therapeutic – atrial fibrillation)
2.0-3.0


Question 1 of 5

The nurse has reinforced teaching for a client with atrial fibrillation who is receiving warfarin. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.

Correct Answer: A, C

Rationale: Antibiotics affecting INR (
A) and consistent timing (
C) are correct. More leafy greens (
B) can lower INR, INR of 4-5 (
D) is too high, and doubling doses (E) is dangerous.

Extract:


Question 2 of 5

A very tall, heavy-set man is admitted. The nurse is taking vital signs. Which statement is correct concerning taking the blood pressure?

Correct Answer: C

Rationale: An extra-large cuff ensures accurate blood pressure measurement in large individuals; a standard cuff falsely elevates readings. Adjusting readings or lying down is unnecessary.

Question 3 of 5

The clinic nurse is reinforcing teaching to a client about the advance directive form that needs to be completed. Which statement indicates that the client understands the information?

Correct Answer: A

Rationale: Giving a copy to the health care proxy (
A) ensures the advance directive is communicated. Doctor approval (
B), refrigerator posting (
C), and nurse witnessing (
D) are incorrect or unnecessary.

Question 4 of 5

A woman is admitted with Hodgkin's disease. Which does the nurse expect the client to report?

Correct Answer: A

Rationale: Hodgkin's disease typically presents with painless swollen lymph nodes, a hallmark symptom the nurse should expect.

Question 5 of 5

Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?

Correct Answer: A

Rationale: Cereal. Strained cereal is recommended as the first solid food for breastfed infants, per pediatric guidelines.

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