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Questions 149

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Extract:


Question 1 of 5

The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?

Correct Answer: C

Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.

Question 2 of 5

The nurse is talking with a client who has been diagnosed with thyroid cancer. The client is asking about different treatment options. Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response encourages open communication and assesses the client's current knowledge, facilitating a patient-centered discussion about treatment options.

Question 3 of 5

The nurse is caring for a 10-year-old boy with hemophilia. The nurse suspects the child has developed hemarthrosis when she observes

Correct Answer: D

Rationale: Hemarthrosis (joint bleeding) in hemophilia presents with redness, swelling, and warmth over the joint due to blood accumulation.

Question 4 of 5

A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

Correct Answer: B

Rationale: In Bryant's traction, the buttocks should be slightly elevated (15° off the bed) to ensure proper alignment.

Question 5 of 5

A 2-year-old is hospitalized with a diagnosis of Kawasaki's disease. A severe complication of Kawasaki's disease is:

Correct Answer: D

Rationale: Kawasaki's disease can lead to coronary artery aneurysms, a severe complication that may cause myocardial infarction or rupture.

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