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Questions 148

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Extract:


Question 1 of 5

The nurse is assisting a client who is to undergo a thoracentesis. Which of the following is the optimal position for the procedure?

Correct Answer: D

Rationale: The upright position leaning forward (
D) maximizes lung expansion and access to pleural fluid during thoracentesis.

Question 2 of 5

A client has been receiving cyanocobalamine (B12) injections for the past six weeks. Which laboratory finding indicates that the medication is having the desired effect?

Correct Answer: D

Rationale: Increased reticulocyte count indicates effective B12 therapy for anemia.

Question 3 of 5

A client has ataxia following a cerebral vascular accident. The nurse should:

Correct Answer: A

Rationale: Ataxia impairs coordination, increasing fall risk, so supervising ambulation is essential for safety.

Question 4 of 5

The nurse should visit which of the following clients first?

Correct Answer: C

Rationale: Chest pain in a client with a history of angina suggests possible cardiac ischemia, requiring immediate assessment.

Question 5 of 5

The nurse is caring for a client hospitalized with bipolar disorder, manic phase who is taking lithium. Which of the following snacks would be best for the client with mania?

Correct Answer: C

Rationale: An apple is a healthy, low-sodium snack, suitable for a client on lithium, as high sodium foods like potato chips can affect lithium levels.

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