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Questions 148

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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: A WBC of 2000 indicates leukopenia, a serious side effect of carbamazepine that increases infection risk.

Question 2 of 5

The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?

Correct Answer: A

Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.

Question 3 of 5

The nurse is assessing a client with suspected glomerulonephritis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: hematuria and proteinuria are hallmark signs of glomerulonephritis due to glomerular damage

Question 4 of 5

A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?

Correct Answer: C

Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units every 4 hours. 24 hours ÷ 4 = 6 doses/day. 120 × 6 = 720 units/day.

Question 5 of 5

A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

Correct Answer: B

Rationale: A surge in luteinizing hormone triggers ovulation, the time when conception is most likely.

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