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Questions 149

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Question 1 of 5

Which of the following factors increase the risk of developing deep vein thrombosis (DVT)? Select all that apply.

Correct Answer: B,C,D,F

Rationale: DVT risk factors include smoking (
B), surgery (
C), oral contraceptives (
D), and immobility (F). Underweight (
A) and high-protein diet (E) are not significant risks.

Question 2 of 5

A client is prescribed heparin 5,000 units subcutaneously every 12 hours for deep vein thrombosis prophylaxis. The pharmacy dispenses a vial containing 10,000 units/1 ml. How many milliliter(s) of heparin should the nurse administer?

Correct Answer: 0.5 mL

Rationale: Dose: 5,000 units. Concentration: 10,000 units/mL. Volume = 5,000 ÷ 10,000 = 0.5 mL per dose.

Question 3 of 5

A client with advanced Alzheimer's disease has been prescribed haloperidol (Haldol). What clinical manifestation suggests that the client is experiencing side effects from this medication?

Correct Answer: B

Rationale: Haloperidol, an antipsychotic, can cause extrapyramidal side effects like tremors, which are common and indicate a neurological side effect.

Question 4 of 5

The nurse finds that a client receiving digoxin (Lanoxin) 0.25 mg orally has an apical pulse of 54. Which of the following should the nurse do first?

Correct Answer: A

Rationale: An apical pulse of 54 is below the safe threshold (typically 60) for digoxin, indicating potential toxicity. Withholding the dose and notifying the provider is the priority.

Question 5 of 5

When caring for the child with autistic disorder, the nurse should:

Correct Answer: B

Rationale: A consistent caregiver provides stability and reduces anxiety in a child with autism.

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