Following a splenectomy, a client has a hemoglobin

Question 1 of 5

Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5g/dl and has vertigo when getting out of bed. The nurse suspects abnormal orthostatic changes. The vital sign values that would most support the nurse's analysis are:

A. Rise in blood pressure and heart rate B. Rise in blood pressure and drop in heart rate C. Drop in blood pressure and rise in heart rate D. none of the above

Correct Answer: C

Rationale: Following a splenectomy, the client's hemoglobin level of 7.5g/dl indicates anemia, which can contribute to orthostatic hypotension. When the client changes position from lying to standing, the decrease in blood volume may lead to a drop in blood pressure. Additionally, the compensatory mechanism to maintain perfusion to vital organs is to increase the heart rate. Therefore, the vital sign values that would most support the nurse's analysis are a drop in blood pressure (hypotension) and a rise in heart rate (tachycardia).

Question 2 of 5

Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?

A. To increase blood pressure B. To reduce inflammation C. To decrease proteinuria D. To prevent infection

Correct Answer: B

Rationale: Corticosteroids are commonly used to reduce inflammation in various conditions, including nephritic syndrome. In nephritic syndrome, there is inflammation in the glomeruli of the kidneys, leading to symptoms such as proteinuria, hematuria, and reduced kidney function. Corticosteroids work by suppressing this inflammatory response, which helps alleviate the symptoms and improve kidney function in patients with nephritic syndrome. Administering corticosteroids to this child aims to reduce the inflammation in the kidneys, thereby improving their condition.

Question 3 of 5

By the age of 7 months, the infant is able to do all the following EXCEPT

A. transfer object from hand to hand B. actively bounces C. uses radial palm grasp D. cruises

Correct Answer: D

Rationale: Cruising typically occurs later, around 9-10 months.

Question 4 of 5

A first-time mother brings in her 5-day-old baby for a well-child visit. The baby weighs 7 lb 5 oz, down from 7 lb 10 oz at discharge. The nurse's best response is:

A. I will notify the doctor about this weight loss. B. Newborns can lose up to 10% of their birth weight and regain it by 2 weeks of age. C. I can tell you are a first-time mother; don't worry. D. Maybe the baby isn't getting enough milk. How often are you feeding?

Correct Answer: B

Rationale: A small weight loss is normal in the first week of life; infants typically regain their birth weight by 2 weeks.

Question 5 of 5

A patient, who had a hysterectomy 2 days ago, reports tenderness in her left calf. The nursing assessment reveals the following: left calf 17.5", right calf 14", left thigh 32", right thigh 28", and a shiny, warm, and reddened left leg. Which of the following interventions should be given priority in the patient's plan of care? i. Maintain bedrest ii. Encourage ambulation TID iii. Apply bilateral antiembolism v. Apply right antiembolism stockings stockings vi. Apply warm moist heat as ordered iv. Encourage bilateral leg exercises

A. 3 and 4 c.2, 3 , 4 and 5 B. 1, 5 and 6 C. 1, 2, 3, 5 and 6 D.

Correct Answer: A

Rationale: The patient's symptoms and assessment findings suggest the presence of deep vein thrombosis (DVT), which is a potential complication following surgery such as a hysterectomy. The priority interventions in this case should focus on preventing the progression of DVT and reducing the risk of pulmonary embolism.