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Question 1 of 5

The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

Correct Answer: B

Rationale: Tachypnea (respirations 28 shallow) is a common sign of anemia due to reduced oxygen-carrying capacity, prompting compensatory increased respiratory rate.

Question 2 of 5

The physician prescribes captopril (Capoten) 25 mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?

Correct Answer: B

Rationale: Captopril, an ACE inhibitor, commonly causes a persistent dry cough.

Question 3 of 5

Which of the following is a metabolic, life-threatening adverse reaction to general anesthesia?

Correct Answer: B

Rationale: Malignant hyperthermia is a life-threatening reaction to general anesthesia, characterized by rapid temperature increase due to muscle hypermetabolism.

Question 4 of 5

Skeletal traction is applied to the right femur of a client injured in a fall. The primary purpose of the skeletal traction is to:

Correct Answer: D

Rationale: Skeletal traction for a femoral injury aims to realign femoral bone fragments, promoting proper healing and preventing deformity.

Question 5 of 5

A nursing instructor demonstrates to several students how to wrap an amputated limb in a bandage using a figure eight technique. Which of the following correctly states the benefits of this technique? Select all that apply.

Correct Answer: B,C

Rationale: The figure-eight technique reduces swelling (
B) by promoting venous return and minimizes pain (
C) by stabilizing the limb. It does not prevent clots (
A) or air exposure (
D).

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A client has recently lost her best friend to cancer. The client tells the nurse, 'I'm very sad about the loss of my friend.' Which of the following responses by the nurse is the most appropriate?
A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:
Upon admission to the hospital, a client reports having 'the worst headache I've ever had.' The nurse should give the highest priority to:

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