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Questions 160

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Question 1 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

Question 2 of 5

A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?

Correct Answer: A

Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.

Question 3 of 5

A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?

Correct Answer: D

Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.

Question 4 of 5

When planning care for a client in sickle cell crisis, what is the main nursing priority?

Correct Answer: C

Rationale: Sickle cell crisis causes severe pain due to vaso-occlusion. Relieving discomfort through pain management is the primary nursing priority.

Question 5 of 5

The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?

Correct Answer: A

Rationale: A. Estrogen has a positive and protective effect on the function of the heart and blood vessels. B. Menopause is not known to cause a specific food craving. C. Progesterone, which decreases with menopause, is more linked to weight gain. D. Continued exercise and activity in menopause positively affects a woman's health.

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