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Questions 148

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Extract:


Question 1 of 5

The nurse should visit which of the following clients first?

Correct Answer: C

Rationale: Chest pain in a client with a history of angina suggests possible cardiac ischemia, requiring immediate assessment.

Question 2 of 5

The nurse is assessing a client for hypovolemia. Which laboratory result would help the nurse in confirming a volume deficit?

Correct Answer: A

Rationale: Hypovolemia causes hemoconcentration, increasing hematocrit (e.g., 55% is elevated). Potassium, urine specific gravity, and BUN within normal ranges don't confirm volume deficit.

Question 3 of 5

The nurse is caring for a client scheduled for a surgical repair of an abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?

Correct Answer: C

Rationale: Identifying peripheral pulses is critical to establish a baseline for vascular status, as an abdominal aortic aneurysm repair can affect blood flow to the extremities, and postoperative complications may include vascular occlusion.

Question 4 of 5

An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client

Correct Answer: A

Rationale: check vital signs every 15 minutes until stable, assess for respiratory difficulty (stridor and dyspnea resulting from laryngeal edema or laryngospasm)

Question 5 of 5

The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?

Correct Answer: B

Rationale: Veal and spinach are high in iron, and whole-wheat roll provides additional nutrients. The other meals lack significant iron sources.

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