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Questions 227

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Extract:

Two days postpartum a patient who had a C-section delivery complains of pain in the right leg.


Question 1 of 5

The nurse should instruct the patient to

Correct Answer: D

Rationale: Leg pain post-C-section may indicate a deep vein thrombosis, requiring bed rest and physician notification.

Extract:

Priority nursing diagnosis on the patient who was admitted with acute renal failure


Question 2 of 5

Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:

Correct Answer: C

Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.

Extract:


Question 3 of 5

Dual diagnosis indicates that there is a substance abuse problem as well as a

Correct Answer: B

Rationale: Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.

Question 4 of 5

The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:

Correct Answer: A

Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.

Question 5 of 5

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

Correct Answer: C

Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

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