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Questions 149

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Question 1 of 5

A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor:

Correct Answer: A

Rationale: Platelet count is the primary indicator of treatment response in autoimmune thrombocytopenic purpura, as the condition is characterized by low platelets.

Question 2 of 5

When assessing the client with acute arterial occlusion, the nurse would expect to find:

Correct Answer: B

Rationale: Acute arterial occlusion causes ischemia, leading to cyanosis or blackened areas (gangrene) in distal areas like the toes due to lack of blood flow.

Question 3 of 5

If a client's waist measurement is 38 inches and the hip measurement is 45 inches, what is the client's waist-to-hip ratio. Record your answer rounded to two decimal places.

Correct Answer: 0.84

Rationale: Waist-to-hip ratio = Waist/ Hip = 38/ 45 ≈ 0.844, rounded to 0.84.

Question 4 of 5

The nurse is caring for a client with a diagnosis of fluid overload caused by congestive heart failure. Which findings would the nurse expect to find when reviewing client labs? Select all that apply.

Correct Answer: A,D

Rationale: Fluid overload in CHF dilutes BUN and sodium, leading to decreased levels. Hematocrit decreases, and osmolality is typically normal or low.

Question 5 of 5

The nurse is caring for a client with irritable bowel syndrome. Irritable bowel syndrome is characterized by:

Correct Answer: B

Rationale: IBS is characterized by alternating constipation and diarrhea, often triggered by stress or diet, without structural abnormalities.

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