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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

Correct Answer: C

Rationale: Carbamazepine can cause bone marrow suppression, leading to leukopenia. A WBC of 4,000/mm^3 is low, indicating a potential serious side effect requiring further evaluation.

Question 2 of 5

The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis?

Correct Answer: D

Rationale: Hemarthrosis in hemophilia involves bleeding into joints, causing stiffness, aching, and reduced movement due to joint swelling and pain.

Question 3 of 5

A nurse is preparing to lift a client up in bed. Which of the following should the nurse do to help avoid injuring his back?

Correct Answer: C

Rationale: Tightening stomach and leg muscles stabilizes the core, reducing back strain during lifting.

Question 4 of 5

The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

Correct Answer: C

Rationale: Rest periods help manage fatigue and muscle weakness, common in post-polio syndrome.

Question 5 of 5

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

Correct Answer: A

Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.

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