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Questions 148

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Question 1 of 5

The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis?

Correct Answer: C

Rationale: A red, beefy tongue is a classic sign of pernicious anemia due to vitamin B12 deficiency affecting mucosal tissues.

Question 2 of 5

The nurse is working on the cardiac unit with a client scheduled to receive digitalis. The nurse understands that which finding is a contraindication for this medication? Select all that apply.

Correct Answer: A,D,E

Rationale: AV block, sick sinus syndrome, and Wolff-Parkinson-White syndrome are contraindications for digitalis due to the risk of worsening conduction abnormalities. Atrial flutter and fibrillation are indications.

Question 3 of 5

The physician has ordered injections of Neumega (oprellvekin) for a client receiving chemotherapy for prostate cancer. Which finding suggests that the medication is having its desired effect?

Correct Answer: B

Rationale: Neumega (oprelvekin) stimulates platelet production, so a platelet count of 250,000 mm³ indicates effectiveness.

Question 4 of 5

A client is admitted to the medical-surgical unit with a report of severe hematemesis. The nurse should give priority to:

Correct Answer: C

Rationale: Severe hematemesis indicates significant bleeding, requiring immediate IV access with a large-bore needle for fluid and blood resuscitation to stabilize the client.

Question 5 of 5

The nurse is caring for a client with a history of spinal cord injury who is admitted with a urinary tract infection. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: antibiotics are the primary treatment for a urinary tract infection

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