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Questions 148

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Question 1 of 5

The physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?

Correct Answer: B

Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection; a hemoglobin of 14.2 g indicates effective correction of anemia.

Question 2 of 5

The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

Correct Answer: B

Rationale: Hand washing is the most effective measure to prevent postoperative wound infections.

Question 3 of 5

According to the American Heart Association (2005) guidelines the compression-to-ventilation ratio for one rescuer cardiopulmonary resuscitation is:

Correct Answer: C

Rationale: The 2005 AHA guidelines specify a 30:2 compression-to-ventilation ratio for one-rescuer CPR in adults.

Question 4 of 5

The nurse is admitting a client with a diagnosis of severe malignant catatonia to the in-patient psychiatric unit. Under which condition would the nurse support the use of electroconvulsive therapy (ECT) as a first-line treatment?

Correct Answer: C

Rationale: ECT may be considered first-line for severe malignant catatonia in a controlled setting like an assisted living facility, where monitoring is feasible. Pregnancy and age are contraindications or require caution, and employment is irrelevant.

Question 5 of 5

A child with achondroplasia will likely have which of the following physical characteristics?

Correct Answer: D

Rationale: Achondroplasia causes dwarfism, short fingers/toes, and short proximal limbs due to impaired cartilage growth.

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