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Questions 148

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Question 1 of 5

The nurse is admitting a client directly from a health provider's office. The client has a rash and has been diagnosed with measles. Which room assignment by the nurse indicates an understanding of the disease process of measles?

Correct Answer: A

Rationale: Measles requires airborne precautions, necessitating a private negative-pressure room to prevent transmission.

Question 2 of 5

Cystic fibrosis is an exocrine disorder that affects several systems of the body. The earliest sign associated with a diagnosis of cystic fibrosis is:

Correct Answer: D

Rationale: Meconium ileus, a bowel obstruction at birth, is often the earliest sign of cystic fibrosis in newborns.

Question 3 of 5

Which diet is associated with an increased risk of colorectal cancer?

Correct Answer: C

Rationale: A diet high in fat and refined carbohydrates increases the risk of colorectal cancer due to prolonged intestinal transit time and exposure to carcinogenic metabolites.

Question 4 of 5

The nurse is caring for a client who is postoperative day 3 following a bowel resection. The client reports sudden, severe abdominal pain and distention. Which of the following actions should the nurse take FIRST?

Correct Answer: B

Rationale: sudden, severe abdominal pain and distention may indicate a complication such as an anastomotic leak, requiring immediate physician notification

Question 5 of 5

A nurse prepares to administer a transfusion of RBCs and takes the client's vital signs. The client's temperature is 102.7°F, but other vitals are within normal limits. The nurse should

Correct Answer: D

Rationale: Fever (102.7°F) may indicate an infection or transfusion reaction risk. The physician should be contacted before proceeding with the transfusion.

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