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Question 1 of 5

The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?

Correct Answer: C

Rationale: Swelling of lower extremity. The most common signs of deep vein thrombosis are pain in the region of the thrombus and unilateral swelling distal to the site.

Question 2 of 5

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?

Correct Answer: B

Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation

Question 3 of 5

Which client is at risk for the development of pernicious anemia?

Correct Answer: A

Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.

Question 4 of 5

The nurse is caring for several clients who will be undergoing diagnostic tests. Which client must the nurse ask about allergies to shellfish? An adult who is scheduled for:

Correct Answer: B

Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in CT scans, unlike MRI, EEG, or sleep studies.

Question 5 of 5

An adult who is receiving cancer chemotherapy asks the nurse if her fatigue has anything to do with the chemotherapy. What should the nurse include when responding to this client?

Correct Answer: D

Rationale: Chemotherapy often causes anemia by reducing red blood cells, leading to fatigue, a common side effect.

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