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Questions 149

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Question 1 of 5

Which type of leukemia is more common in older adults?

Correct Answer: C

Rationale: Chronic lymphocytic leukemia (CLL) is most common in older adults, typically diagnosed in those over 60, due to its indolent nature and prevalence in this age group.

Question 2 of 5

The physician has prescribed Chloromycetin (chloramphenicol) for a client with bacterial meningitis. Which lab report should the nurse monitor most carefully?

Correct Answer: C

Rationale: Chloramphenicol can cause bone marrow suppression, so monitoring the complete blood count is critical.

Question 3 of 5

A 34-year-old client is receiving an IM injection of ceftriaxone (Rocephin) for a urinary tract infection. Which is correct regarding IM injections?

Correct Answer: C

Rationale: IM injections are given at a 90-degree angle to ensure muscle penetration. A 25-gauge needle is too small, a 45-degree angle is for subcutaneous injections, and a bleb indicates intradermal injection.

Question 4 of 5

The physician has inserted an esophageal balloon tamponade in a client with bleeding esophageal varices. The nurse should maintain the esophageal balloon at a pressure of:

Correct Answer: D

Rationale: A pressure of 20-25 mmHg effectively compresses varices to control bleeding without causing tissue damage.

Question 5 of 5

A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?

Correct Answer: B

Rationale: Pulling a toy is consistent with an 18-month-old's developmental level, supporting the assessment.

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