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Extract:

When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:


Question 1 of 5

When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:

Correct Answer: C

Rationale: Anorexia and petechiae are common in ALL due to bone marrow suppression.

Extract:


Question 2 of 5

A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.

Question 3 of 5

Which client is at risk for the development of pernicious anemia?

Correct Answer: A

Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.

Question 4 of 5

A hospitalized client asks what is wrong with the person in the next bed. How should the nurse reply?

Correct Answer: C

Rationale: HIPAA mandates confidentiality; stating that information is confidential protects patient privacy without engaging further.

Question 5 of 5

The client is admitted to the hospital with a hypertensive crisis. Diazoxide (Hyperstat) is ordered. During administration the nurse should:

Correct Answer: B

Rationale: Hyperstat is given IV push for hypertensive crisis. It often causes hyperglycemia. The glucose level will drop rapidly after the medication is administered. Answer A is incorrect because this medication is given IV push. The client should be placed in dorsal recumbent position, not Trendelenburg, so answer C is incorrect. Answer D is incorrect because the medication is ordered IV push.

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