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Questions 148

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Extract:


Question 1 of 5

Which of the following actions does NOT require the use of standard precautions?

Correct Answer: C

Rationale: Standard precautions are required for contact with blood, urine, and vomit due to potential infectious agents. Sweat is not considered a significant risk for transmission.

Question 2 of 5

The primary cause of anemia in a client with chronic renal failure is:

Correct Answer: D

Rationale: Chronic renal failure reduces erythropoietin production by the kidneys, leading to decreased red blood cell production and anemia.

Question 3 of 5

A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

Correct Answer: D

Rationale: Severe hypertension (180/96) poses a risk to fetal well-being, prioritizing fetal heart tone assessment.

Question 4 of 5

A client is receiving oxygen therapy at 3 L/min per nasal cannula. Which of the following fraction of inspired oxygen (FiO2) measurements does the nurse expect that the client is receiving?

Correct Answer: C

Rationale: Nasal cannula at 3 L/min delivers approximately 32% FiO2 (
C), as each liter increases FiO2 by about 4% above room air (21%). Other percentages (A, B,
D) do not correspond to this flow rate.

Question 5 of 5

A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client's glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?

Correct Answer: B

Rationale: GFR <15 mL/min indicates stage 5 CKD (end-stage renal disease), often requiring dialysis or transplant.

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