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Question 1 of 5

Which of the following would be considered a sensible type of fluid loss?

Correct Answer: A

Rationale: Sensible fluid loss is measurable, such as sweat or urine. Respiratory excretions, vomit, and fecal water loss are insensible (not easily measured).

Question 2 of 5

A client with increased intracranial pressure is receiving Mannitol and Lasix. The nurse recognizes that these two drugs are given to reverse which effect?

Correct Answer: C

Rationale: Mannitol and Lasix are diuretics that reduce cerebral edema by drawing fluid out of swollen brain cells, decreasing intracranial pressure.

Question 3 of 5

Which client is at the greatest risk of developing colon cancer?

Correct Answer: C

Rationale: Previous cancer history, especially treated with chemotherapy, increases colon cancer risk due to potential genetic or environmental factors. Age over 50 also elevates risk.

Question 4 of 5

A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?

Correct Answer: C

Rationale: The ABCs of trauma care prioritize airway, breathing, and circulation. Establishing an airway comes first, followed by controlling hemorrhage and preventing shock, then assessing for head injuries.

Question 5 of 5

A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:

Correct Answer: D

Rationale: Rising blood pressure is a sign of renal transplant rejection due to impaired kidney function and fluid retention.

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When examining an 80-year-old client with chronic COPD receiving home health care, the nurse notes that over the previous 48 hours the client has developed scattered painful pustular lesions on the right arm near the elbow (see photo), on the back of the neck, the face, and on both legs. Which of the following does the nurse suspect is the most likely cause of the lesions?
The nurse on a physical rehabilitation unit is assigned a 63-year-old male client post-amputation of his left lower limb above the knee two weeks prior. The client has a history of peripheral vascular disease due to diabetes mellitus. Which statement by the client indicates a need for further teaching?
The nurse is caring for a client on the oncology unit. Which nursing activity is appropriate to delegate to the unit LPN?
A client in ICU is being closely monitored after a fall. The nurse notices a slight increase in intracranial pressure (ICP). The nurse should intervene by

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