The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding?

Questions 46

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Nursing Assessment Questions Questions

Question 1 of 5

The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding?

Correct Answer: C

Rationale: Sickle cell disease causes vaso-occlusion, leading to jaundice (yellow sclera, C) from hemolysis. Generalized pain is typical, not toe-specific (B), and diarrhea (A) or headache (D) are less common.

Question 2 of 5

Major part of cardiac output used for which organ?

Correct Answer: D

Rationale: The kidneys receive about 20-25% of cardiac output (D), the highest proportion per organ, though lungs receive 100% total flow.

Question 3 of 5

Witch’s milk commonly seen only in --...?

Correct Answer: B

Rationale: Witch’s milk (B) is a normal newborn phenomenon due to maternal hormones causing breast secretion. It’s not seen in infants (A), adolescents (C), or prenatal clients (D).

Question 4 of 5

A client with a history of atrial fibrillation is prescribed warfarin. Which laboratory value should the nurse monitor to evaluate the effectiveness of this medication?

Correct Answer: B

Rationale: Warfarin’s effectiveness is monitored via PT/INR (B), targeting a therapeutic range to prevent clots. Platelet count (A) and bleeding time (D) are unrelated, and aPTT (C) monitors heparin.

Question 5 of 5

The nurse is teaching a client with asthma how to use a metered-dose inhaler (MDI). Which instruction should the nurse include?

Correct Answer: A

Rationale: Inhaling quickly and deeply (A) ensures medication reaches the lungs. Holding breath (B) should be 10 seconds, rinsing (C) is for steroids, and MDIs (D) are for maintenance too.

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