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Question 1 of 5

The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?

Correct Answer: D

Rationale: O negative blood is the universal donor type, safe for transfusion without type and crossmatch in emergencies, as it lacks antigens that could cause reactions.

Question 2 of 5

A client admitted to the psychiatric unit claims to be the Pope and insists that he will not be kept away from his subjects. The most likely explanation for the client's delusion is:

Correct Answer: C

Rationale: Delusions of grandeur, such as claiming to be the Pope, often stem from low self-esteem, compensating with an inflated sense of identity.

Question 3 of 5

A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

Correct Answer: C

Rationale: The rhythm method relies on predicting ovulation, which requires regular menstrual cycles.

Question 4 of 5

A client with hepatitis C who has cirrhosis changes has just returned from a liver biopsy. The nurse will place the client in which position?

Correct Answer: C

Rationale: Right side-lying position applies pressure to the liver biopsy site, reducing the risk of bleeding or bile leakage post-procedure.

Question 5 of 5

A client diagnosed with gout 10 years ago admits she has never treated her gout and hoped it would just go away. The nurse knows all of the following are potential complications from untreated gout EXCEPT

Correct Answer: D

Rationale: Untreated gout can lead to kidney stones, tophi (uric acid nodules), and joint deformities due to chronic urate deposition. Peripheral neuropathy is not a typical complication.

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The nurse is preparing to administer blood to a client with anemia. Which signs and symptoms of transfusion reaction should the nurse monitor for during the first 30 minutes? Select all that apply.
The nurse is caring for a client with a radium implant for the treatment of cervical cancer. While caring for the client with a radioactive implant, the nurse should:

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