The normal range of hemoglobin in the blood of an adult:

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Question 1 of 5

The normal range of hemoglobin in the blood of an adult:

Correct Answer: C

Rationale: The normal range of hemoglobin in the blood of an adult is typically between 12-18 grams per deciliter (g/dL). Hemoglobin is a protein found in red blood cells that is responsible for carrying oxygen from the lungs to the tissues in the body. Having an adequate level of hemoglobin is essential for proper oxygen delivery throughout the body. Values outside of the normal range may indicate anemia (low hemoglobin levels) or other underlying health conditions. It's important to consult a healthcare provider for interpretation of specific hemoglobin test results.

Question 2 of 5

A 9-year-old boy develops acute myelogenous leukemia (AML) one year after completion of therapy for soft tissue sarcoma at his right thigh. Which of the following chemotherapeutic agents is MOST likely the cause of secondary acute myelogenous leukemia AML in this boy?

Correct Answer: C

Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.

Question 3 of 5

The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?

Correct Answer: D

Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.

Question 4 of 5

A client who has been taking prednisone to treat lupus erythematosus has discontinued the medication because of lack of funds to buy the drug. When the nurse becomes aware of the situation, which assessment is most important for the nurse to make first?

Correct Answer: B

Rationale: The most important assessment for the nurse to make first in this situation is the client's blood pressure. Abrupt discontinuation of prednisone, especially in a client with lupus erythematosus, can lead to adrenal insufficiency or an Addisonian crisis. Addisonian crisis can present with symptoms such as severe hypotension, fatigue, weakness, and even shock. Therefore, monitoring the client's blood pressure is crucial to assess for signs of adrenal insufficiency and to intervene promptly if needed. Once blood pressure is assessed, the nurse can then proceed to assess other parameters such as breath sounds, capillary refill, and the presence of a butterfly rash.

Question 5 of 5

An adult has a central line in his right subclavian vein. The nurse is to change the tubing. Which of the following should be done?

Correct Answer: C

Rationale: The correct action to be taken when changing the tubing of a central line in the right subclavian vein is to close the roller clamp on the new tubing after priming it. This step is important to prevent air from entering the central line, which can lead to an air embolus. Proper priming and ensuring that the tubing is connected securely are essential steps in maintaining the integrity and safety of the central line system. Therefore, closing the roller clamp after priming the new tubing is crucial to prevent complications.

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