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Questions 149

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Extract:


Question 1 of 5

The nurse is assisting in the care of a client with diverticulosis. Which of the following assessment findings must necessitate an immediate report to the doctor?

Correct Answer: D

Rationale: Low hemoglobin (26%) and hematocrit (32) suggest significant bleeding, requiring immediate reporting for further evaluation.

Question 2 of 5

The nurse is assisting in the care of a client with diverticulosis. Which of the following assessment findings must necessitate an immediate report to the doctor?

Correct Answer: D

Rationale: Low hemoglobin (26%) and hematocrit (32) suggest significant bleeding, requiring immediate reporting for further evaluation.

Question 3 of 5

A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:

Correct Answer: B

Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.

Question 4 of 5

The nurse is caring for a COPD client who is discharged on p.o. Theophylline. Which of the following statements by the client would indicate a correct understanding of discharge instructions?

Correct Answer: C

Rationale: Theophylline can be administered intravenously for acute COPD exacerbations, indicating the client understands potential treatment escalation.

Question 5 of 5

The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

Correct Answer: A

Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.

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