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Questions 227

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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

The nurse is caring for a client with a history of pancreatitis. Which of the following dietary recommendations should the nurse provide?

Correct Answer: B

Rationale: A low-fat, high-protein diet supports pancreatic healing by minimizing pancreatic stimulation and providing nutrients for recovery. High-fat (
A) or high-sodium (
C) diets exacerbate pancreatitis, and low-protein (
D) hinders tissue repair.

Question 3 of 5

A 6-year old is diagnosed with scarlet fever. Which oral manifestation is associated with scarlet fever?

Correct Answer: C

Rationale: Scarlet fever causes a characteristic strawberry tongue (red or white-coated). White spots suggest thrush, grayish membranes indicate diphtheria, and black tongue is unrelated.

Extract:

To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:


Question 4 of 5

To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:

Correct Answer: B

Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.

Extract:


Question 5 of 5

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?

Correct Answer: B

Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation

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