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Questions 149

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Question 1 of 5

The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which of the following laboratory values should the nurse check before administering the dose?

Correct Answer: B

Rationale: heparin’s therapeutic effect is monitored by aPTT, which should be 1.5–2 times the control value

Question 2 of 5

A 22-year-old pregnant client is diagnosed with autoimmune hemolytic anemia. The nurse anticipates immediate treatment with

Correct Answer: E

Rationale: Autoimmune hemolytic anemia in pregnancy is typically treated with corticosteroids or IVIG (containing IgG), but IgG alone isn’t administered. None of the options are correct.

Question 3 of 5

Which statement is true regarding the infant's susceptibility to pertussis?

Correct Answer: B

Rationale: Infants are highly susceptible to pertussis from birth, as maternal immunity is minimal, and severe cases are common in this age group.

Question 4 of 5

When caring for the child with autistic disorder, the nurse should:

Correct Answer: B

Rationale: A consistent caregiver provides stability and reduces anxiety in a child with autism.

Question 5 of 5

The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:

Correct Answer: B

Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.

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