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Questions 158

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Question 1 of 5

The nurse is caring for a client following cast application for a fractured ulna. Which finding should be reported to the doctor?

Correct Answer: D

Rationale: Paresthesia (numbness or tingling) in the fingers suggests nerve compression or compromised circulation possibly from a tight cast and requires immediate reporting. Pain is expected and warm fingers with a pulse are normal findings.

Question 2 of 5

With a geriatric client, the nurse should also assess whether he has been obtaining a yearly vaccination against influenza. Why is this assessment important?

Correct Answer: C

Rationale: Older clients have less effective immune systems, increasing their risk for influenza complications, making yearly vaccination critical.

Question 3 of 5

Which of the following combinations of foods is appropriate for an eight-month-old infant?

Correct Answer: C

Rationale: Rice cereal, bananas, and strained carrots are developmentally appropriate, easily digestible foods for an eight-month-old, unlike the other options, which include choking hazards or inappropriate items like whole milk.

Question 4 of 5

The client is admitted with a diagnosis of placenta previa. Which diagnostic test is most likely to be ordered?

Correct Answer: A

Rationale: Ultrasound is the primary test for diagnosing placenta previa visualizing the placenta’s position relative to the cervix. Fetal fibronectin amniocentesis and non-stress tests are not used for this diagnosis.

Question 5 of 5

The nurse is caring for a client with a history of a pulmonary embolism who is receiving Alteplase (Activase). The nurse should:

Correct Answer: A

Rationale: Alteplase, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. Vitamin K, glucose, and fluid restriction are unrelated.

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