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Questions 227

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Extract:

Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.


Question 1 of 5

The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:

Correct Answer: C

Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.

Extract:


Question 2 of 5

The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is prescribed 10 units of regular insulin and 20 units of NPH insulin. The nurse should

Correct Answer: A

Rationale: When mixing regular and NPH insulin, draw up regular (clear) insulin first to prevent contamination with NPH (cloudy). Mixing in one syringe (not separate,
C) is standard, and a 1:1 ratio (
D) is incorrect as doses are specific (10:20 units).

Question 3 of 5

What is the primary nutritional deficiency of concern for a strict vegetarian?

Correct Answer: B

Rationale: Vitamin B12 is primarily found in animal products, making it a common deficiency in strict vegetarians, potentially leading to anemia or neurological issues. The other nutrients are more readily available in plant-based diets. Health Promotion and Maintenance

Question 4 of 5

An adult is receiving external radiation therapy. What should the nurse include in the teaching plan about care of the skin at the radiation site?

Correct Answer: D

Rationale: Avoiding washing the radiated skin prevents irritation and damage to the sensitive area. Dressings, showers, or ice may exacerbate skin breakdown.

Question 5 of 5

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer: A,C,D

Rationale: Pursed-lip breathing improves oxygenation, high-calorie/protein diets support nutrition, and smoking cessation prevents progression. High oxygen risks CO2 retention, and excessive fluids are not standard.

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