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Question 1 of 5

The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?

Correct Answer: B

Rationale: Pernicious anemia, caused by vitamin B12 deficiency, leads to neurological symptoms like numbness and tingling due to nerve demyelination. The other symptoms are common in various anemias.

Question 2 of 5

Prior to an amniocentesis, a fetal ultrasound is done in order to:

Correct Answer: C

Rationale: Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus.

Question 3 of 5

A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is 'rule out hepatitis.' Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis. Which of the following represents a high-risk group for contracting this disease?

Correct Answer: B

Rationale: Oncology nurses are at high risk due to exposure to invasive procedures and potential sources of infection, unlike the other groups listed.

Question 4 of 5

A client with obsessive compulsive personality disorder annoys his co-workers with his rigid-perfectionistic attitude and his preoccupation with trivial details. An important nursing intervention for this client would be:

Correct Answer: D

Rationale: Setting time schedules and deadlines helps manage the client's perfectionism and preoccupation with details, promoting efficiency without confrontation.

Question 5 of 5

A client with a history of liver cirrhosis is admitted with ascites. Which intervention would the nurse expect to implement?

Correct Answer: A

Rationale: Furosemide reduces fluid overload in ascites by promoting diuresis. Increasing fluids (
B), heating pads (
C), and high-sodium diets (
D) worsen ascites.

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The physician decides to prescribe both a short-acting insulin and an intermediate-acting insulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulin is:

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