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Questions 164

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Question 1 of 5

The nurse is talking with a client who has breast cancer and is receiving tamoxifen. Which of the following statements by the client would require immediate follow-up?

Correct Answer: D

Rationale: Heavy menses while on tamoxifen may indicate endometrial hyperplasia or cancer, a serious side effect requiring immediate evaluation. Hot flashes, vaginal dryness, and decreased libido are common, less urgent side effects.

Question 2 of 5

Which are appropriate examples of cost-effective care? Select all that apply.

Correct Answer: A,B

Rationale: Using the glove wrapper as a sterile field and clean gloves for dressing removal reduce waste without compromising safety. Returning supplies, reusing tourniquets, and using old saline risk contamination or infection.

Question 3 of 5

A school nurse is advising a class of unwed pregnant high school students. What is the most important action they can perform to deliver a healthy child?

Correct Answer: A

Rationale: Maintain good nutrition. Adequate nutrition, especially protein, vitamins, and iron, is critical for healthy fetal development and reducing low-birth-weight risks.

Question 4 of 5

When interviewing the parents of a child with asthma, it is most important to assess the child's environment for what factor?

Correct Answer: A

Rationale: Animal dander is a very common allergen affecting persons with asthma. Other triggers may include pollens, carpeting and household dust.

Question 5 of 5

A client on the oncology unit is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The client weighs 105.6 lbs. How many units should the client receive in a 24-hour period?

Correct Answer: C

Rationale: The client weighs 48 kg and should receive 5 units/kg, or 240 units every 4 hours. This would be 1440 units in 24 hours. The answers in A, B, and D are incorrect calculations.

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