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Questions 149

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Extract:


Question 1 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 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

A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?

Correct Answer: B

Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding

Question 4 of 5

Which of the following findings would be expected in the infant with biliary atresia?

Correct Answer: C

Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.

Question 5 of 5

While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:

Correct Answer: D

Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.

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