Questions 107

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Basic Adult Health Care NCLEX Heart Questions Questions

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Question 1 of 5

The nurse is to administer subcutaneous heparin to an older adult. What facts should the nurse keep in mind when administering this dose? Select all that apply.

Correct Answer: C,E

Rationale: Subcutaneous heparin should be administered using a 27-gauge, 5/8-inch needle to ensure proper delivery into subcutaneous tissue. Due to the risk of bleeding, the dose should be double-checked with another nurse. The anterior iliac crest is not a standard site (abdomen is preferred), onset is not immediate (takes hours), and cephalosporins do not potentiate heparin's effects.

Question 2 of 5

An 82-year-old female has several ecchymotic areas on her left arm. The nurse should further assess the client for:

Correct Answer: C

Rationale: Aging increases capillary fragility and permeability, leading to easy bruising (ecchymosis). While elder abuse is possible, capillary fragility is the most likely cause in this context.

Question 3 of 5

A 52-year-old client with lung cancer tells the nurse that he has a low-grade fever (100.6°F [38.1°C]), nonproductive cough, and increasing fatigue. He completed the radiation therapy to the mass in his right lung and mediastinum 10 weeks ago and has a follow-up appointment to see the physician in 2 weeks. What is the most appropriate response by the nurse?

Correct Answer: C

Rationale: Fever, cough, and fatigue post-radiation may indicate infection or pneumonitis, requiring prompt evaluation, especially in a lung cancer patient, so an office visit today is appropriate.

Question 4 of 5

Which of the following reasons explains why meperidine (Demerol) is not recommended for chronic cancer-related pain?

Correct Answer: D

Rationale: Meperidine's metabolite, normeperidine, accumulates with repeated dosing and can cause seizures, making it unsuitable for chronic cancer pain.

Question 5 of 5

Which of the following is a priority outcome for the client with Addison's disease?

Correct Answer: A

Rationale: Medication compliance is critical in Addison's disease to prevent adrenal crisis and maintain hormonal balance.

Similar Questions

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The nurse is instructing a client who is at risk for peripheral vascular disease how to use knee-length elastic stockings (support hose). The teaching plan should include which of the following? Check all that apply.
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