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Questions 158

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Extract:


Question 1 of 5

The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

Correct Answer: B

Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.

Question 2 of 5

A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:

Correct Answer: A

Rationale: Bed rest, elevation, and splinting reduce bleeding and pain in hemarthrosis, stabilizing the joint.

Question 3 of 5

The nurse has just received a report from the previous shift.

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. COPD with PCO2 50 (
A) is stable, pain (
C) is less urgent, and mild fever (
D) is expected post-op.

Question 4 of 5

A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:

Correct Answer: B

Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.

Question 5 of 5

When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of:

Correct Answer: C

Rationale: Pericarditis can cause dyspnea but primarily causes chest pain. Anxiety can cause dyspnea resulting in SOB, yet it is not typically influenced by degree of head elevation. The inability to oxygenate well without being upright is most indicative of congestive heart failure, due to alveolar drowning. Angina causes primarily chest pain; any SOB associated with angina is not influenced by body position.

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