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Questions 158

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of psoriasis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Psoriasis causes scaly, silvery plaques due to rapid skin cell turnover, a hallmark symptom.

Question 2 of 5

The nurse is evaluating the evidence-based practice used for the units' client care standards. Which of the following provides the most support for evidence-based practice?

Question Image

Correct Answer: B, D, E

Rationale: Evidence-based practice relies on practice guidelines (
B), research articles (
D), and systematic reviews (E) for high-quality evidence. Client preference (
A) and care plans (
C) are individualized but less rigorous.

Question 3 of 5

The client is admitted with a diagnosis of gestational hypertension. Which vital sign change is most concerning?

Correct Answer: A

Rationale: A blood pressure of 160/110 indicates severe gestational hypertension increasing the risk of complications like stroke or eclampsia and requires immediate intervention. The other vital signs are normal.

Question 4 of 5

The nurse is caring for a client following a myocardial infarction. Which of the following enzymes are specific to cardiac damage?

Correct Answer: C

Rationale: CK-MB and LDH are specific to cardiac damage, with CK-MB being highly specific for myocardial infarction due to its presence in heart muscle.

Question 5 of 5

A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which laboratory value should the nurse monitor closely?

Correct Answer: B

Rationale: Warfarin affects clotting, requiring monitoring of PT/INR to ensure therapeutic anticoagulation. Platelets (
A), hemoglobin (
C), and potassium (
D) are not directly affected.

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