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Questions 149

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Question 1 of 5

The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

Correct Answer: B

Rationale: irreversible disease that leads to permanent physical limitations

Question 2 of 5

A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor:

Correct Answer: A

Rationale: Platelet count is the primary indicator of treatment response in autoimmune thrombocytopenic purpura, as the condition is characterized by low platelets.

Question 3 of 5

Whole blood is primarily indicated for which of the following purposes?

Correct Answer: A

Rationale: Whole blood is primarily used to treat extreme loss of blood volume (
A), such as in hemorrhagic shock, as it restores both volume and oxygen-carrying capacity. Clotting factors (
B), anemia (
C), and acute bleeding (
D) may require specific blood components instead.

Question 4 of 5

The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

Correct Answer: B

Rationale: RhoGam prevents the formation of Rh antibodies in Rh-negative mothers exposed to Rh-positive fetal blood, reducing the risk of hemolytic disease in future pregnancies.

Question 5 of 5

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.

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