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Questions 158

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Question 1 of 5

The nurse is caring for a client with cancer of the pancreas. Which finding indicates involvement of the bile ducts?

Correct Answer: A

Rationale: Pancreatic cancer can obstruct bile ducts causing bilirubin buildup and dark urine (bilirubinuria). Petechiae indicate bleeding dark stools suggest GI bleeding and steatorrhea reflects fat malabsorption not bile duct involvement.

Question 2 of 5

The nurse is performing an assessment on a newborn with suspected coarctation of the aorta. Which finding is most likely?

Correct Answer: A

Rationale: Coarctation of the aorta causes narrowed aortic flow, leading to diminished femoral pulses. Murmurs may occur, but pulse discrepancy is most characteristic.

Question 3 of 5

A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?

Correct Answer: A

Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.

Question 4 of 5

A terrorist attack has left hundreds of patients with injuries determined to be in the immediate category as defined by NATO. The color to designate this group is:

Correct Answer: C

Rationale: In NATO triage the immediate category (requiring urgent intervention to survive) is designated by red. Black indicates deceased or expectant yellow is delayed and green is minimal.

Question 5 of 5

The nurse is teaching a client with osteoporosis about dietary modifications. Which food should the client be encouraged to include?

Correct Answer: C

Rationale: Dairy products are rich in calcium, essential for bone health in osteoporosis. Citrus fruits provide vitamin C, red meat offers iron, and whole grains supply fiber, but they are less critical for bone density.

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