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Question 1 of 5

The nurse is caring for a client with a suspected stroke. Which assessment should the nurse perform first?

Correct Answer: C

Rationale: Evaluating speech and motor function first helps confirm stroke symptoms using tools like the FAST scale, guiding urgent intervention.

Question 2 of 5

A 62-year-old client with a 29-pack per year history is admitted with a diagnosis of the blood pressure. She reports having 'no appetite' and exhibits symptoms of anorexia. The client is 5 feet, 8 inches tall and weighs 112 lb. The client is now scheduled for a left lung lobectomy. Which of the following increases the client's risk of developing postoperative pulmonary complications?

Correct Answer: D

Rationale: Low body weight (112 lb for 5'8') indicates malnutrition, increasing the risk of postoperative pulmonary complications.

Question 3 of 5

The nurse is caring for a client with a history of breast cancer who is receiving tamoxifen (Nolvadex). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Tamoxifen increases the risk of endometrial cancer, requiring monitoring for abnormal vaginal bleeding.

Question 4 of 5

A child with meningococcal meningitis is being admitted to the pediatric unit. In preparation for the child's arrival, the nurse should first?

Correct Answer: A

Rationale: Meningococcal meningitis is transmitted via droplets, so instituting precautions is the priority to prevent spread.

Question 5 of 5

Carbamazepine is prescribed for the management of generalized tonic-clonic seizures. The nurse instructs the client to inform the primary health care provider if which sign/symptom occurs?

Correct Answer: C

Rationale: Drowsiness, dizziness, nausea, and vomiting are frequent side effects associated with the medication. Adverse reactions include blood dyscrasias. If the client develops a fever, sore throat, mouth ulcerations, unusual bleeding or bruising, or joint pain, this may be indicative of a blood dyscrasia, and the primary health care provider should be notified.

Similar Questions

The nurse is evaluating the pin insertion site of a client's skeletal traction. Which of the following indicate a complication?
A client with a history of hypothyroidism is admitted with fatigue. The nurse should monitor the client for which of the following laboratory abnormalities?
A client with a history of cirrhosis is admitted with esophageal varices. The nurse should monitor the client for which of the following complications?
The nurse notes that the primary health care provider has written a prescription for prednisone for a client. The nurse contacts the primary health care provider about revision of the client's medication plan if which medication is noted on the client's medication record?
The nurse is caring for a client who has just received a diagnosis of terminal cancer. The client says, 'I don't want to tell my family yet.' Which of the following responses by the nurse is most appropriate?

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