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Question 1 of 5

The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis?

Correct Answer: D

Rationale: Hemarthrosis in hemophilia involves bleeding into joints, causing stiffness, aching, and reduced movement due to joint swelling and pain.

Question 2 of 5

A client with a T6 injury 6 months ago develops facial flushing and a BP of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?

Correct Answer: B

Rationale: The symptoms suggest autonomic dysreflexia, often triggered by a distended bladder in spinal cord injury patients. Assessing and relieving the bladder is the priority after elevating the bed.

Question 3 of 5

The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:

Correct Answer: B

Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.

Question 4 of 5

A client seen in the doctor's office for complaints of nausea and vomiting is sent home with directions to follow a clear-liquid diet for the next 24-48 hours. Which of the following is not permitted on a clear-liquid diet?

Correct Answer: C

Rationale: Ice cream is not a clear liquid, as it is opaque and contains dairy.

Question 5 of 5

The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?

Correct Answer: C

Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.

Similar Questions

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The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
The nurse is educating a client about lifestyle modifications to manage hypertension. Which of the following modifications should the nurse recommend? Select all that apply.

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