Passpoint-immune and hematologic Exam Elaborations | 100% CORRECT.

Passpoint-immune and hematologic . Question 1 See full question A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determin es the client needs further teaching when she makes which statement? You Selected: • "I will need more frequent appointments during the remainder of the pregnancy." Correct response: • “I will need to take an iron supplement even if my laboratory values are normal.” Explanation: Remediation: Question 2 See full question The nurse teaches the client with iron deficiency anemia that food sources with high iron content include: You Selected: • beef. Correct response: • beef. Explanation: Remediation: Question 3 See full question A young adult has been bitten by a human, and the skin on the forearm is broken. The client's last tetanus shot was about 8 years ago. The nurse should prepare the client for: You Selected: • an injection of tetanus toxoid. Correct response: • an injection of tetanus toxoid. Explanation: Remediation: Question 4 See full question Allopurinol is prescribed for a client who has chronic gout. Which comment indicates that the client understands how to take the allopurinol? You Selected: • "I must take this drug on an empty stomach." Correct response: • "I should drink plenty of fluids when taking allopurinol." Explanation: Remediation: Question 5 See full question A client is receiving a transfusion of packed red blood cells. To safely administer the blood, the nurse should: You Selected: • stay with the client during the first 15 minutes to detect signs or symptoms of a reaction. Correct response: • stay with the client during the first 15 minutes to detect signs or symptoms of a reaction. Explanation: Remediation: Question 6 See full question After teaching the parents of a child newly diagnosed with leukemia about the disease, which description if given by the mother best indicates that she understands the nature of leukemia? You Selected: • "The disease is a type of cancer characterized by an increase in immature white blood cells." Correct response: • "The disease is a type of cancer characterized by an increase in immature white blood cells." Explanation: Remediation: Question 7 See full question A client with pernicious anemia asks why she must take vitamin B12 injections forever. Which is the nurse's best response? You Selected: • “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed.” Correct response: • “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed.” Explanation: Remediation: Question 8 See full question What should the nurse should teach the client with neutropenia and the family to avoid? You Selected: • using suppositories or enemas Correct response: • using suppositories or enemas Explanation: Remediation: Question 9 See full question A complete blood count is commonly performed before a client goes into surgery. What does this test seek to identify? You Selected: • Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Correct response: • Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Explanation: Remediation: Question 10 See full question The nurse is providing discharge teaching for a client with a compromised immune system and on neutropenic precautions. When discussing types of fruits and vegetables that the client likes, which are encouraged? Select all that apply. You Selected: • Cooked corn • Broccoli florets • Bananas Correct response: • Canned peaches • Cooked corn Question 1 See full question A client takes prednisone, as ordered, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as: You Selected: • fluid retention and weight gain. Correct response: • fluid retention and weight gain. Explanation: Remediation: Question 2 See full question A client diagnosed with idiopathic thrombocytopenia purpura needs a peripherally inserted central catheter (PICC) placed. When explaining the catheter to the client, the nurse explains that one advantage of a catheter is that it can be used: You Selected: • for 2 weeks without being replaced. Correct response: • to provide long-term access to central veins. Explanation: Remediation: Question 3 See full question A nurse preparing to discharge a child with leukemia observes a family member who has a cold sharing a meal with the child. How should the nurse approach the situation? You Selected: • Tell family members to be careful to avoid the child if they're sick. Correct response: • Offer a face mask to the person with the cold and use this as an opportunity for further teaching. Explanation: Remediation: Question 4 See full question Which is an appropriate outcome for a client with rheumatoid arthritis? You Selected: • The client will maintain full range of motion in joints. Correct response: • The client will manage joint pain and fatigue to perform activities of daily living. Explanation: Remediation: Question 5 See full question A client with disseminated intravascular coagulation develops clinical manifestations of microvascular thrombosis. The nurse should assess the client for: You Selected: • petechiae. Correct response: • focal ischemia. Explanation: Remediation: Question 6 See full question A client is about to undergo bone marrow aspiration of the sternum. What should the nurse tell the client? You Selected: • "You will feel a pulling type of discomfort for a few seconds." Correct response: • "You will feel a pulling type of discomfort for a few seconds." Explanation: Remediation: Question 7 See full question A nurse is to give a client heparin 8,000 units subcutaneously. The available vial is 10,000 units/mL. How many milliliters should the nurse draw up into the syringe? Record your answer using one decimal place. Your Response: • 0.8 Correct response: • 0.8 Explanation: Remediation: Question 8 See full question A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process? You Selected: • "It will get better and worse again." Correct response: • "It will get better and worse again." Explanation: Remediation: Question 9 See full question A client diagnosed with systemic lupus erythematosus comes to the emergency department with severe back pain. She reports that she first felt pain after manually opening her garage door and that she is taking prednisone daily. What adverse effect of long-term corticosteroid therapy is most likely responsible for the pain? You Selected: • Osteoporosis Correct response: • Osteoporosis Explanation: Remediation: Question 10 See full question The family of a client, stung by a bee, is rushed the client to the emergency room. The client is experiencing hives and redness at the site. Upon arrival, the client states, “I feel a lump in my throat and I am sweating. I can’t breathe! I think I am going to die!” The nurse anticipates which emergency treatment next? You Selected: • Administer Albuterol 2 puffs stat. Correct response: • Administer an injection of epinephrine stat. Question 1 See full question A client with rheumatoid arthritis is being discharged with a prescription for aspirin, 600 mg P.O. every 6 hours. Which statement by the client indicates understanding of the adverse effects of the medication? You Selected: • "I know this mediation may cause bleeding so I will take it on an empty stomach." Correct response: • "I'll call my physician if I have ringing in the ears." Explanation: Remediation: Question 2 See full question A physician orders gentamicin sulfate, 80 mg I.V. every 8 hours for a client with Pseudomonas aeruginosa. The nurse should infuse this drug over at least: You Selected: • 30 minutes. Correct response: • 30 minutes. Explanation: Remediation: Question 3 See full question When a nurse removes an I.V. from an client with acquired immunodeficiency syndrome (AIDS), blood splashes into her eyes. What should the nurse do next? You Selected: • Rinse her eyes, contact Employee Health and document their findings. Correct response: • Rinse her eyes with water, report the incident, and go to Employee Health. Explanation: Remediation: Question 4 See full question Which dietary strategy best meets the nutritional needs of a client with acquired immunodeficiency syndrome (AIDS)? You Selected: • Instruct the client to cook foods thoroughly and adhere to safe food-handling practices. Correct response: • Instruct the client to cook foods thoroughly and adhere to safe food-handling practices. Explanation: Remediation: Question 5 See full question A nurse is planning care for a client with human immunodeficiency virus (HIV). The registered nurse (RN) is delegating responsibilities to a licensed practical/vocational nurse (LPN/VN). Which statements by the LPN/VN indicates understanding of HIV transmission? Select all that apply. You Selected: • "I do not need to wear any personal protective equipment because nurses have a low risk of occupational exposure." • "I will wash my hands after client care." • "I will wear a mask, gown, and gloves when splashing of body fluids is likely." Correct response: • "I will wear a mask, gown, and gloves when splashing of body fluids is likely." • "I will wash my hands after client care." Explanation: Remediation: Question 6 See full question A nurse is providing discharge teaching to a client who is immunosuppressed. Which statement by the client indicates the need for additional teaching? You Selected: • "I can eat whatever I want as long as it's low in fat." Correct response: • "I can eat whatever I want as long as it's low in fat." Explanation: Remediation: Question 7 See full question A female client with the beta-thalassemia trait plans to marry a man of Italian ancestry who also has the trait. Which client statement indicates that she understands the teaching provided by the nurse? You Selected: • "I need to learn how to give myself vitamin B12 injections." Correct response: • "We'll need more genetic counseling in the future." Explanation: Remediation: Question 8 See full question A client has extreme fatigue and is malnourished, and laboratory tests reveal a hemoglobin level of 8.5 g/dL (85 g/L). The nurse should specifically ask the client about the intake of food high in which nutrients? You Selected: • vitamins B6 and B12, folate, iron, and copper Correct response: • vitamins B6 and B12, folate, iron, and copper Explanation: Question 9 See full question A client is admitted to the facility with an exacerbation of her chronic systemic lupus erythematosus (SLE). The client gets angry when the call bell isn't answered immediately. What is the nurse's most appropriate response? You Selected: • "You seem angry. Would you like to talk about it?" Correct response: • "You seem angry. Would you like to talk about it?" Explanation: Remediation: Question 10 See full question The daily white blood cell (WBC) count in a client with aplastic anemia drops overnight from 3,900 to 2,900/µl (3.9 to 2.9 X 109/L). Which is the appropriate nursing intervention? You Selected: • Call the laboratory to verify the report. Correct response: • Call the primary care provider, and request that the client be placed in reverse isolation. Question 1 See full question After teaching the client with rheumatoid arthritis about measures to conserve energy in activities of daily living involving the small joints, which activity observed by the nurse indicates the need for additional teaching? You Selected: • carrying a laundry basket with clinched fingers and fists Correct response: • carrying a laundry basket with clinched fingers and fists Explanation: Remediation: Question 2 See full question The nurse evaluates that the client correctly understands how to report signs and symptoms of bleeding when the client says: You Selected: • "Ecchymoses are large, purple skin bruises." Correct response: • "Ecchymoses are large, purple skin bruises." Explanation: Remediation: Question 3 See full question The nurse is preparing to administer 500 mL of whole blood to a client. The blood is to be infused over 4 hours. The infusion tubing delivers 10 gtt/mL. How many drops of blood per minute must the nurse infuse to complete the infusion in 4 hours? Record your answer using a whole number. Your Response: • 21 Correct response: • 21 Explanation: Remediation: Question 4 See full question A 35-year-old female client is diagnosed with aplastic anemia. Which is the most important nursing measure to incorporate into the client’s plan of care? You Selected: • Alternate periods of activity with rest to decrease fatigue. Correct response: • Alternate periods of activity with rest to decrease fatigue. Explanation: Remediation: Question 5 See full question When administering a blood transfusion to a client with multiple traumatic injuries, the nurse monitors closely for evidence of a transfusion reaction. Shortly after the transfusion begins, the client complains of chest pain, nausea, and itching and there is a rise in the client's temperature. The nurse stops the transfusion and notifies the physician. The nurse suspects which type of hypersensitivity reaction with a blood transfusion? You Selected: • Type II (cytolytic, cytotoxic) hypersensitivity reaction Correct response: • Type II (cytolytic, cytotoxic) hypersensitivity reaction Explanation: Remediation: Question 6 See full question A nurse assesses a client shortly after living donor kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately? You Selected: • Urine output of 20 ml/hour Correct response: • Urine output of 20 ml/hour Explanation: Remediation: Question 7 See full question While obtaining a health history, a nurse learns that a client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand? You Selected: • Pseudoephedrine Correct response: • Diphenhydramine Explanation: Remediation: Question 8 See full question A nurse is caring for a client with thrombocytopenia. What is the best way to protect this client? You Selected: • Use the smallest needle possible for injections. Correct response: • Use the smallest needle possible for injections. Explanation: Remediation: Question 9 See full question A female client with human immunodeficiency virus (HIV) receives family-planning counseling. Which statement made by the client about safer sex practices for persons with HIV is accurate? You Selected: • "Contraceptive methods, such as hormonal contraceptives, implants, and injections, are recommended for me to prevent HIV transmission." Correct response: • "A latex condom with spermicide provides the best protection against HIV transmission during sexual intercourse." Explanation: Remediation: Question 10 See full question A nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should wear gloves when: You Selected: • entering the room. Correct response: • providing mouth care. Question 1 See full question A young adult has been bitten by a human, and the skin on the forearm is broken. The client's last tetanus shot was about 8 years ago. The nurse should prepare the client for: You Selected: • an injection of tetanus toxoid. Correct response: • an injection of tetanus toxoid. Explanation: Remediation: Question 2 See full question Allopurinol is prescribed for a client who has chronic gout. Which comment indicates that the client understands how to take the allopurinol? You Selected: • "I should drink plenty of fluids when taking allopurinol." Correct response: • "I should drink plenty of fluids when taking allopurinol." Explanation: Remediation: Question 3 See full question At which time should the nurse instruct the client to take ibuprofen, prescribed for left hip pain secondary to osteoarthritis, to minimize gastric mucosal irritation? You Selected: • on an empty stomach Correct response: • immediately after a meal Explanation: Remediation: Question 4 See full question The nurse is administering packed red blood cells (PRBCs) to a client. The nurse should first: You Selected: • stay with the client during the first 15 minutes of infusion. Correct response: • stay with the client during the first 15 minutes of infusion. Explanation: Remediation: Question 5 See full question When a client is diagnosed with aplastic anemia, the nurse should assess the client for changes in which physiologic functions? You Selected: • bleeding tendencies Correct response: • bleeding tendencies Explanation: Remediation: Question 6 See full question What should the nurse should teach the client with neutropenia and the family to avoid? You Selected: • using suppositories or enemas Correct response: • using suppositories or enemas Explanation: Remediation: Question 7 See full question A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The physician begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption? You Selected: • Intrinsic factor Correct response: • Intrinsic factor Explanation: Remediation: Question 8 See full question A client receiving a blood transfusion experiences an acute hemolytic reaction. Which nursing intervention is the most important? You Selected: • Stop the transfusion, infuse normal saline solution, and call the physician. Correct response: • Stop the transfusion, infuse normal saline solution, and call the physician. Explanation: Remediation: Question 9 See full question During chemotherapy for lymphocytic leukemia, a client develops abdominal pain, fever, and foul smelling diarrhea. Which priority order should the nurse anticipate from the health care provider? You Selected: • Stool sample for a Clostridium difficile Correct response: • Stool sample for a Clostridium difficile Explanation: Remediation: Question 10 See full question The nurse is working in an internal medicine office. A daughter brings her elderly mother to the doctor’s appointment. Upon reviewing the medication list, the daughter states, “Which medication is prescribed to prevent a stroke?” The nurse is correct to answer which medication? You Selected: • Ticlopidine Correct response: • Ticlopidine Question 1 See full question A client takes prednisone, as ordered, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as: You Selected: • fluid retention and weight gain. Correct response: • fluid retention and weight gain. Explanation: Remediation: Question 2 See full question A client with lymphoma tells the nurse that he's found an overseas holistic physician who can cure him with coffee enemas. What should the nurse say? You Selected: • "Unproven alternative therapy can be very dangerous." Correct response: • "You should ask your physician if this is a helpful approach." Explanation: Question 3 See full question The teaching plan for the client with rheumatoid arthritis includes rest promotion. What position of the involved joints should the nurse tell the client to avoid when at rest? You Selected: • elevating the affected joints Correct response: • maintaining the joints in a flexed position Explanation: Remediation: Question 4 See full question The nurse understands that the client who is undergoing induction therapy for leukemia needs additional instruction when the client makes which statement? You Selected: • "I cannot wait to get home to my cat!" Correct response: • "I cannot wait to get home to my cat!" Explanation: Remediation: Question 5 See full question Which symptom is an early indication that the client’s serum potassium level is below normal? You Selected: • diarrhea Correct response: • muscle weakness in the legs Explanation: Remediation: Question 6 See full question The nurse is assisting with a bone marrow aspiration and biopsy. Place the tasks in the order in which the nurse should perform them, from highest priority to least priority. All options must be used. You Selected: • Verify the client has signed an informed consent. • Position the client in a side-lying position. • Clean the skin with an antiseptic solution. • Apply ice to the biopsy site. Correct response: • Verify the client has signed an informed consent. • Position the client in a side-lying position. • Clean the skin with an antiseptic solution. • Apply ice to the biopsy site. Explanation: Remediation: Question 7 See full question Which type of white blood cell (WBC) is the most numerous? You Selected: • Neutrophil Correct response: • Neutrophil Explanation: Remediation: Question 8 See full question The nurse should assess a client for which of the following complications associated with disseminated intravascular coagulation (DIC)? You Selected: • Congestive heart failure Correct response: • Pulmonary embolism Explanation: Remediation: Question 9 See full question A client with AIDS develops a fever, severe headache, and stiff neck and begins to vomit. Family members state they have noticed that the client does not seem to be as alert and oriented as before. Which of the following is the nurse's priority intervention? You Selected: • Preparing the client for a lumbar puncture Correct response: • Protecting the client's airway Explanation: Remediation: Question 10 See full question A nurse is administering an IV antineoplastic agent when the client says, “My arm is burning by the IV site.” What should the nurse do first? You Selected: • Stop infusing the medication. Correct response: • Stop infusing the medication. Question 1 See full question A client with rheumatoid arthritis has been on aspirin therapy for an extended time. Which assessment is the most important for the nurse to obtain? You Selected: • Weight Correct response: • Hearing Explanation: Remediation: Question 2 See full question Which is an appropriate outcome for a client with rheumatoid arthritis? You Selected: • The client will manage joint pain and fatigue to perform activities of daily living. Correct response: • The client will manage joint pain and fatigue to perform activities of daily living. Explanation: Remediation: Question 3 See full question A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs? You Selected: • Take the prescribed medication with food and fluids. Correct response: • Take the prescribed medication with food and fluids. Explanation: Remediation: Question 4 See full question A parent asks the nurse if a child's iron deficiency anemia is related to the child's frequent infections. The nurse responds based on the understanding of which principle? You Selected: • Children with iron deficiency anemia are more susceptible to infection than are other children. Correct response: • Children with iron deficiency anemia are more susceptible to infection than are other children. Explanation: Remediation: Question 5 See full question Which is a priority assessment for the client in shock who is receiving an IV infusion of packed red blood cells and normal saline solution? You Selected: • anaphylactic reaction Correct response: • anaphylactic reaction Explanation: Remediation: Question 6 See full question A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by the client refers to the most overt clinical manifestation of rheumatoid arthritis? You Selected: • "My finger joints are oddly shaped." Correct response: • "My finger joints are oddly shaped." Explanation: Remediation: Question 7 See full question A 25-year-old client taking hydroxychloroquine for rheumatoid arthritis reports difficulty seeing out of the left eye. What does this finding indicate? You Selected: • possible retinal degeneration Correct response: • possible retinal degeneration Explanation: Remediation: Question 8 See full question A nurse is caring for a female client who is receiving antibiotics to treat a gram-negative bacterial infection. The client experiences an adverse effect related to the destruction of the normal flora in the GI tract. What finding does the nurse expect to assess? You Selected: • Diarrhea Correct response: • Diarrhea Explanation: Question 9 See full question A client presents to the community clinic with a viral infection and swollen lymph nodes. When assessing the lymph nodes of the head and neck, the nurse notes hard and irregular shaped nodes in the submandibular region. When documenting the site of the lymph nodes, identify the area of concern. You Selected: • Your selection and the correct area, market by the green box. Explanation: Remediation: Question 10 See full question A female client is receiving chemotherapy and is experiencing pancytopenia. Which laboratory result most warrants that the nurse immediately contact the health care provider (HCP)? You Selected: • WBC count of 4,000/mm3 Correct response: • platelet count of 12,000/mm3 Question 1 See full question A physician orders gentamicin sulfate, 80 mg I.V. every 8 hours for a client with Pseudomonas aeruginosa. The nurse should infuse this drug over at least: You Selected: • 30 minutes. Correct response: • 30 minutes. Explanation: Remediation: Question 2 See full question The nurse is developing a plan of care for a client who has joint stiffness due to rheumatoid arthritis. Which measure will be the most effective in relieving stiffness? You Selected: • a warm shower before performing activities of daily living Correct response: • a warm shower before performing activities of daily living Explanation: Remediation: Question 3 See full question The nurse should instruct a woman taking folic acid supplements for folic acid-deficiency anemia that: You Selected: • oral contraceptive use, pregnancy, and lactation increase daily requirements. Correct response: • oral contraceptive use, pregnancy, and lactation increase daily requirements. Explanation: Remediation: Question 4 See full question A client from a Mediterranean country is admitted with thalassemia, jaundice, splenomegaly, and hepatomegaly. Which should be the primary focus of nursing care for this client? You Selected: • Provide activities of daily living on the time schedule of the client's homeland. Correct response: • Decrease cardiac demands by promoting rest. Explanation: Remediation: Question 5 See full question A client is about to undergo bone marrow aspiration of the sternum. What should the nurse tell the client? You Selected: • "You will feel a pulling type of discomfort for a few seconds." Correct response: • "You will feel a pulling type of discomfort for a few seconds." Explanation: Remediation: Question 6 See full question A 35-year-old female client is diagnosed with aplastic anemia. Which is the most important nursing measure to incorporate into the client’s plan of care? You Selected: • Alternate periods of activity with rest to decrease fatigue. Correct response: • Alternate periods of activity with rest to decrease fatigue. Explanation: Remediation: Question 7 See full question A nurse assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? You Selected: • Facial erythema, pericarditis, pleuritis, fever, and weight loss Correct response: • Facial erythema, pericarditis, pleuritis, fever, and weight loss Explanation: Remediation: Question 8 See full question Which finding should a nurse identify as requiring further investigation? You Selected: • White blood cell (WBC) count of 7,000/?l Correct response: • Platelet count of 115,000/?l Explanation: Remediation: Question 9 See full question A client has been taking a decongestant for allergic rhinitis. Which finding suggests that the decongestant demonstrates maximum therapeutic effective? You Selected: • Reduced sneezing Correct response: • Reduced sneezing Explanation: Remediation: Question 10 See full question A mother asks the nurse if her child’s iron-deficiency anemia is related to the child’s frequent infections. The nurse responds based on the understanding of which of the following? You Selected: • Children with iron-deficiency anemia are more susceptible to infection than are other children. Correct response: • Children with iron-deficiency anemia are more susceptible to infection than are other children. Question 1 See full question A client with lymphoma tells the nurse that he's found an overseas holistic physician who can cure him with coffee enemas. What should the nurse say? You Selected: • "You should ask your physician if this is a helpful approach." Correct response: • "You should ask your physician if this is a helpful approach." Explanation: Question 2 See full question When assessing for signs of a blood transfusion reaction in a client with dark skin, the nurse should assess for: You Selected: • diaphoresis. Correct response: • diaphoresis. Explanation: Remediation: Question 3 See full question When developing the plan of care for a client with aplastic anemia, the nurse should include which goal? You Selected: • Perform activities of daily living without excessive fatigue or dyspnea. Correct response: • Perform activities of daily living without excessive fatigue or dyspnea. Explanation: Remediation: Question 4 See full question A nurse is caring for a client who is having an allergic reaction to a blood transfusion. In what order should the nurse provide care for this client? All options must be used. You Selected: • Stop the transfusion. • Keep the vein open with normal saline solution. • Administer an antihistamine as directed. • Send the blood bag and blood slip to the blood bank. Correct response: • Stop the transfusion. • Keep the vein open with normal saline solution. • Administer an antihistamine as directed. • Send the blood bag and blood slip to the blood bank. Explanation: Remediation: Question 5 See full question Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. The nurse suspects abnormal orthostatic changes. What vital sign values most support the nurse's analysis? You Selected: • Blood pressure of 80/40 mm Hg and pulse of 130 beats per minute. Correct response: • Blood pressure of 80/40 mm Hg and pulse of 130 beats per minute. Explanation: Remediation: Question 6 See full question A client is taking large doses of aspirin daily to treat rheumatoid arthritis. The nurse should instruct the client to tell the health care provider (HCP) when having: You Selected: • tinnitus. Correct response: • tinnitus. Explanation: Remediation: Question 7 See full question The nurse is to administer subcutaneous heparin to an underweight older adult. What facts should the nurse keep in mind when administering this medication? Select all that apply. You Selected: • Cephalosporin potentiates the effects of heparin. • Verify the dose with another nurse according to agency policy. • Use a 27G, 5/8 inch (1.6 cm) needle. Correct response: • Administer in the anterior area of the iliac crest. • Use a 27G, 5/8 inch (1.6 cm) needle. • Cephalosporin potentiates the effects of heparin. • Verify the dose with another nurse according to agency policy. Explanation: Remediation: Question 8 See full question A nurse is caring for several clients on an oncology unit. Which client should the nurse see first? You Selected: • Client with a white blood cell count of 2000 µL Correct response: • Client with a white blood cell count of 2000 µL Explanation: Remediation: Question 9 See full question A RN preceptor is assisting a new graduate to access a port-a-cath with a Huber needle. Which action by the new graduate would require intervention by the RN preceptor? You Selected: • Wearing a surgical mask during the procedure. Correct response: • Rotation of the needle immediately after access. Explanation: Remediation: Question 10 See full question A client who is receiving a blood transfusion suddenly experiences chills and a temperature of 101° F (38° C) The client also has a headache and appears flushed. In what order, from first to last, should the nurse perform the actions? All options must be used. You Selected: • Stop the blood infusion. • Infuse normal saline to keep the vein open. • Send the blood bag and administration set to the blood bank. • Obtain a blood culture from the client. Correct response: • Stop the blood infusion. • Infuse normal saline to keep the vein open. • Obtain a blood culture from the client. • Send the blood bag and administration set to the blood bank. Question 1 See full question A client with acquired immunodeficiency syndrome is receiving zidovudine. Which laboratory value indicates an adverse reaction to zidovudine? You Selected: • Platelet count of 240,000/mm3 Correct response: • Red blood cell (RBC) count of 1.8 million/μl (1.8 million x 10 to the 12th/L) Explanation: Remediation: Question 2 See full question A client who tested positive for human immunodeficiency virus (HIV) and has pancreatitis is admitted to the medical unit. The nurse director from another unit comes into the medical unit nurses' station and begins reading the client's chart. The staff nurse questions the director about reading the client's chart. The director states that the client is her neighbor's son. What action should the nurse take to protect the client's right to privacy? You Selected: • Inform the nurse director she's violating the client's right to privacy and ask her to return the chart. Correct response: • Inform the nurse director she's violating the client's right to privacy and ask her to return the chart. Explanation: Question 3 See full question A client with severe arthritis has been receiving maintenance therapy of prednisone 10 mg/day for the past 6 weeks. The nurse should instruct the client to immediately report symptoms of: You Selected: • joint pain. Correct response: • respiratory infection. Explanation: Remediation: Question 4 See full question The nurse is assessing a client with anemia. In order to plan nursing care, the nurse should focus the assessment on which sign or symptom? You Selected: • nausea Correct response: • cold intolerance Explanation: Remediation: Question 5 See full question The nurse is assisting with a bone marrow aspiration and biopsy. Place the tasks in the order in which the nurse should perform them, from highest priority to least priority. All options must be used. You Selected: • Verify the client has signed an informed consent. • Position the client in a side-lying position. • Clean the skin with an antiseptic solution. • Apply ice to the biopsy site. Correct response: • Verify the client has signed an informed consent. • Position the client in a side-lying position. • Clean the skin with an antiseptic solution. • Apply ice to the biopsy site. Explanation: Remediation: Question 6 See full question A client develops a facial rash and urticaria after receiving penicillin. Which laboratory value does the nurse expect to be elevated? You Selected: • IgE Correct response: • IgE Explanation: Remediation: Question 7 See full question A clinical nurse specialist (CNS) is orienting a new graduate registered nurse to an oncology unit where blood product transfusions are frequently administered. In discussing ABO compatibility, the CNS presents several hypothetical scenarios. The new graduate knows that the greatest likelihood of an acute hemolytic reaction would occur when giving: You Selected: • A-positive blood to an A-negative client. Correct response: • A-positive blood to an A-negative client. Explanation: Remediation: Question 8 See full question A client with allergic rhinitis asks the nurse what to do to decrease rhinorrhea. Which instruction would be appropriate for the nurse to give the client? You Selected: • "Use your nasal decongestant spray regularly to help clear your nasal passages." Correct response: • "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks." Explanation: Remediation: Question 9 See full question For a client diagnosed with idiopathic thrombocytopenia purpura (ITP), which nursing intervention is appropriate? You Selected: • Administering platelets, as ordered, to maintain an adequate platelet count Correct response: • Administering stool softeners, as ordered, to prevent straining during defecation Explanation: Remediation: Question 10 See full question In a client infected with human immunodeficiency virus (HIV) has a low CD4 level. What interventions should the nurse implement as a result of this finding? You Selected: • Request human granulocyte colony-stimulating factor to improve WBC production. Correct response: • Place the client in reverse isolation. Question 1 See full question A nurse is preparing to administer a unit of blood to a client with anemia. After its removal from the refrigerator, the blood should be administered within: You Selected: • 1 hour. Correct response: • 4 hours. Explanation: Remediation: Question 2 See full question A client with iron-deficiency anemia is prescribed liquid iron supplements. The nurse evaluates the client’s understanding of how to take this drug. Which statement indicates the client has adequate knowledge? You Selected: • ”I will dilute the medication and drink it with a straw.” Correct response: • ”I will dilute the medication and drink it with a straw.” Explanation: Remediation: Question 3 See full question A client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that humoral immunity is provided by which type of white blood cell? You Selected: • Neutrophil Correct response: • Lymphocyte Explanation: Remediation: Question 4 See full question A client is diagnosed with rheumatoid arthritis, an autoimmune disorder. When teaching the client and family about autoimmune disorders, the nurse should provide which information? You Selected: • Clients with autoimmune disorders may have false-negative but not false-positive serologic tests. Correct response: • Autoimmune disorders include connective tissue (collagen) disorders. Explanation: Remediation: Question 5 See full question A nurse is poviding care for a client with progressive systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis? You Selected: • Risk for impaired skin integrity Correct response: • Risk for impaired skin integrity Explanation: Remediation: Question 6 See full question A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client to: You Selected: • lie supine with his neck extended. Correct response: • sit upright, leaning slightly forward. Explanation: Remediation: Question 7 See full question Which precautions should a nurse include in the care plan for a client with leukemia and neutropenia? You Selected: • Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing. Correct response: • Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing. Explanation: Remediation: Question 8 See full question A client is newly diagnosed with pernicious anemia. The nurse emphasizes to the client the need to increase vitamin B12 intake by: You Selected: • taking vitamin B12 injections or nasal spray replacement. Correct response: • taking vitamin B12 injections or nasal spray replacement. Explanation: Remediation: Question 9 See full question A nurse in the infection prevention and control program is conducting an assessment of infection control practices. The nurse is evaluating the infection control actions taken on the unit for a client with a decreased white blood cell count. Which of the following infection control practices does the nurse consider most important for this client? You Selected: • Implementing respiratory isolation procedures Correct response: • Diligent adherence to aseptic technique Explanation: Remediation: Question 10 See full question A nurse is caring for a female client who is receiving antibiotics to treat a gram-negative bacterial infection. The client experiences an adverse effect related to the destruction of the normal flora in the GI tract. What finding does the nurse expect to assess? You Selected: • Diarrhea Correct response: • Diarrhea Question 1 See full question A client was recently discharged with a peripherally inserted central catheter, and the home care nurse begins teaching him how to care for the catheter. The client states, "I'm so confused. The nurses in the hospital started to show me how to care for this catheter, but I don't think I'll be able to keep it all straight." Which response by the nurse is most appropriate? You Selected: • "We'll make sure that you feel comfortable caring for your catheter. Can you show me what the nurses in the hospital showed you?" Correct response: • "We'll make sure that you feel comfortable caring for your catheter. Can you show me what the nurses in the hospital showed you?" Explanation: Remediation: Question 2 See full question The nurse should instruct a woman taking folic acid supplements for folic acid-deficiency anemia that: You Selected: • oral contraceptive use, pregnancy, and lactation increase daily requirements. Correct response: • oral contraceptive use, pregnancy, and lactation increase daily requirements. Explanation: Remediation: Question 3 See full question Which lab values should the nurse report to the health care provider (HCP) when the client has anemia? You Selected: • intrinsic factor, absent Correct response: • intrinsic factor, absent Explanation: Remediation: Question 4 See full question A client with thrombocytopenia has developed a hemorrhage. The nurse should assess the client for which finding? You Selected: • tachycardia Correct response: • tachycardia Explanation: Remediation: Question 5 See full question The nurse should assess a client at risk for acute disseminated intravascular coagulation (DIC) for which early sign? You Selected: • severe shortness of breath Correct response: • bleeding without history or cause Explanation: Remediation: Question 6 See full question A client with toxic shock has been receiving ceftriaxone sodium, 1 g every 12 hours. In addition to culture and sensitivity studies, which other laboratory finding does the nurse monitor? You Selected: • arterial blood gases Correct response: • serum creatinine Explanation: Remediation: Question 7 See full question A client with allergic rhinitis asks the nurse what to do to decrease rhinorrhea. Which instruction would be appropriate for the nurse to give the client? You Selected: • "Use your nasal decongestant spray regularly to help clear your nasal passages." Correct response: • "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks." Explanation: Remediation: Question 8 See full question A mother asks the nurse if her child’s iron-deficiency anemia is related to the child’s frequent infections. The nurse responds based on the understanding of which of the following? You Selected: • Children with iron-deficiency anemia are more susceptible to infection than are other children. Correct response: • Children with iron-deficiency anemia are more susceptible to infection than are other children. Explanation: Remediation: Question 9 See full question In a client infected with human immunodeficiency virus (HIV) has a low CD4 level. What interventions should the nurse implement as a result of this finding? You Selected: • Place the client in reverse isolation. Correct response: • Place the client in reverse isolation. Explanation: Remediation: Question 10 See full question A RN preceptor is assisting a new graduate to access a port-a-cath with a Huber needle. Which action by the new graduate would require intervention by the RN preceptor? You Selected: • Rotation of the needle immediately after access. Correct response: • Rotation of the needle immediately after access. Question 2 See full question A health care provider (HCP) has been exposed to hepatitis B through a needlestick. Which drug should the nurse anticipate administering as postexposure prophylaxis? You Selected: • hepatitis B surface antigen Correct response: • hepatitis B immune globulin Explanation: Remediation: Question 3 See full question A client from a Mediterranean country is admitted with thalassemia, jaundice, splenomegaly, and hepatomegaly. Which should be the primary focus of nursing care for this client? You Selected: • Decrease cardiac demands by promoting rest. Correct response: • Decrease cardiac demands by promoting rest. Question 4 See full question A nurse is caring for a client with human immunodeficiency virus (HIV). To determine the effectiveness of treatment the nurse expects the physician to order: You Selected: • ELISA with Western blot test. Correct response: • quantification of T-lymphocytes. Question 3 See full question A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see? You Selected: • Hypercalcemia Correct response: • Hypercalcemia Question 4 See full question A nurse provides care for a client with deep partial-thickness burns. What could cause a reduced hematocrit (HCT) in this client? You Selected: • Hemodilution Correct response: • Hemodilution Explanation: Remediation: Question 5 See full question A client with rheumatoid arthritis states, “I cannot do my household chores without becoming tired. My knees hurt whenever I walk.” Which goal for this client should take priority? You Selected: • Adapt self-care skills. Correct response: • Conserve energy. Question 1 See full question The nurse is caring for a client who has been diagnosed with pernicious anemia. Which statement by the client indicates an understanding of the treatment of pernicious anemia? You Selected: • "I will receive my first injection of vitamin B12 tomorrow, and I will return for a follow-up injection in 1 month." Correct response: • "I will need to take vitamin B12 replacements for the rest of my life." Explanation: Remediation: Question 2 See full question A clinical nurse specialist (CNS) is orienting a new graduate registered nurse to an oncology unit where blood product transfusions are frequently administered. In discussing ABO compatibility, the CNS presents several hypothetical scenarios. The new graduate knows that the greatest likelihood of an acute hemolytic reaction would occur when giving: You Selected: • A-positive blood to an A-negative client. Correct response: • A-positive blood to an A-negative client. Explanation: Remediation: Question 3 See full question A nurse is caring for a client with human immunodeficiency virus (HIV). To determine the effectiveness of treatment the nurse expects the physician to order: You Selected: • quantification of T-lymphocytes. Correct response: • quantification of T-lymphocytes. Explanation: Remediation: Question 4 See full question Which of the following laboratory test results does the nurse anticipate for a client diagnosed with a bite from a pit viper? You Selected: • Negative D-dimer Correct response: • INR (international normalized ratio) of 2.3 Explanation: Remediation: Question 5 See full question Which is the best nursing response to make when a client asks why their blood glucose is higher on days when they sleep less? You Selected: • “Cortisol levels remain high when you sleep less, since cortisol is inhibited during sleep.” Correct response: • “Cortisol levels remain high when you sleep less, since cortisol is inhibited during sleep.” Question 4 See full question The client with rheumatoid arthritis tells the nurse, “I have a friend who took gold shots and had a wonderful response. Why did my health care provider not let me try that?” Which response by the nurse would be most appropriate? You Selected: • “It is the health care provider’s prerogative to decide how to treat you. The health care provider has chosen what is best for your situation.” Correct response: • "Every person is different. What works for one client may not always be effective for another." Question 1 See full question A nurse is assigned to a client with acquired immunodeficiency syndrome (AIDS). When handling the client's blood and body fluids, the nurse uses standard precautions, which include: You Selected: • wearing a gown, gloves, and protective eyewear when obtaining a urine specimen via catheterization. Correct response: • disposing of needles uncapped. Explanation: Remediation: Question 2 See full question Which step must be done first when administering a blood transfusion? You Selected: • Verify the blood product and client identity. Correct response: • Verify the physician's order. Explanation: Remediation: Question 3 See full question A client being treated for iron deficiency anemia with ferrous sulfate continues to be anemic despite treatment. The nurse should assess the client for use of which medication? You Selected: • Amoxicillin trihydrate Correct response: • Aluminum hydroxide Explanation: Remediation: Question 4 See full question A nurse in the infection prevention and control program is conducting an assessment of infection control practices. The nurse is evaluating the infection control actions taken on the unit for a client with a decreased white blood cell count. Which of the following infection control practices does the nurse consider most important for this client? You Selected: • Implementing respiratory isolation procedures Correct response: • Diligent adherence to aseptic technique Explanation: Remediation: Question 5 See full question A client with thrombocytopenia has just had a bone marrow aspirate performed to monitor for treatment effectiveness. Which of the following nursing interventions take priority? You Selected: • Cleaning the puncture site and applying a pressure dressing Correct response: • Applying pressure to the puncture site for a full 10 minutes Question 1 See full question A client with lymphoma tells the nurse that he's found an overseas holistic physician who can cure him with coffee enemas. What should the nurse say? You Selected: • "You should ask your physician if this is a helpful approach." Correct response: • "You should ask your physician if this is a helpful approach." Explanation: Question 2 See full question The nurse is teaching the parents of a child with sickle cell disease. To instruct them on how to prevent sickle cell crisis, she should include which instruction? You Selected: • Avoid exercising in cool temperatures. Correct response: • Drink at least 2 quarts (2.3 liters) of fluids per day. Explanation: Remediation: Question 3 See full question The nurse explains to the parents of a 1-year-old child admitted to the hospital in sickle cell crisis that the local tissue damage the child has on admission is caused by which factor? You Selected: • obstruction to circulation Correct response: • obstruction to circulation Explanation: Remediation: Question 4 See full question The nurse is admitting a child who has been diagnosed with bacterial meningitis to the pediatric unit. The nurse should implement which type of isolation? You Selected: • droplet precautions Correct response: • droplet precautions Explanation: Remediation: Question 5 See full question The nurse has been able to draw the daily blood specimen from a client’s Hickman catheter only after requesting that the client raise the arms and cough. The client asks the nurse why this is necessary. The nurse should tell the client: You Selected: • “The catheter may be lodged against a blood vessel wall.” Correct response: • “The catheter may be lodged against a blood vessel wall.” Explanation: Remediation: Question 6 See full question A client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that humoral immunity is provided by which type of white blood cell? You Selected: • Neutrophil Correct response: • Lymphocyte Explanation: Remediation: Question 7 See full question A pregnant client who developed deep vein thrombosis (DVT) in her right leg is receiving heparin I.V. on the medical floor. Physical therapy is ordered to maintain her mobility and prevent additional DVT. A nursing assistant working on the medical unit helps the client with bathing, range-of-motion exercises, and personal care. Which collaborative multidisciplinary considerations should the care plan address? You Selected: • The client is at risk for developing another DVT; therefore, the care plan should include reporting redness, tenderness, or edema in the other lower extremity. Correct response: • The client is at risk for heparin-induced thrombocytopenia; therefore, the care plan should include reporting evidence of bleeding or easy bruising. Explanation: Remediation: Question 8 See full question A client with rheumatoid arthritis states, “I cannot do my household chores without becoming tired. My knees hurt whenever I walk.” Which goal for this client should take priority? You Selected: • Conserve energy. Correct response: • Conserve energy. Explanation: Remediation: Question 9 See full question In a client infected with human immunodeficiency virus (HIV) has a low CD4 level. What interventions should the nurse implement as a result of this finding? You Selected: • Place the client in reverse isolation. Correct response: • Place the client in reverse isolation. Explanation: Remediation: Question 10 See full question A nurse is caring for a client receiving radiation for Hodgkin’s lymphoma who begins to exhibit confusion. Upon further assessment, the nurse notes that the client has warm, flushed, dry skin; a heart rate of 110 beats per minute; and a temperature of 101.8° F (38.8° C). Which is the nurse’s next best action? You Selected: • Notify the healthcare provider. Correct response: • Notify the healthcare provider. Question 1 See full question The nurse is caring for a client who has been diagnosed with pernicious anemia. Which statement by the client indicates an understanding of the treatment of pernicious anemia? You Selected: • "I will need to take vitamin B12 replacements for the rest of my life." Correct response: • "I will need to take vitamin B12 replacements for the rest of my life." Explanation: Remediation: Question 2 See full question The primary reason for infusing blood at a rate of 60 ml/hour is to help prevent: You Selected: • fluid volume overload. Correct response: • fluid volume overload. Explanation: Remediation: Question 3 See full question Which lab values should the nurse report to the health care provider (HCP) when the client has anemia? You Selected: • intrinsic factor, absent Correct response: • intrinsic factor, absent Explanation: Remediation: Question 4 See full question The nurse should assess a client at risk for acute disseminated intravascular coagulation (DIC) for which early sign? You Selected: • bleeding without history or cause Correct response: • bleeding without history or cause Explanation: Remediation: Question 5 See full question The nurse plans to administer an injection of heparin to a client. Which technique for heparin administration is appropriate? The nurse: You Selected: • applies gentle pressure to the site for 5 to 10 seconds after the injection. Correct response: • applies gentle pressure to the site for 5 to 10 seconds after the injection. Explanation: Remediation: Question 6 See full question A nurse is poviding care for a client with progressive systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis? You Selected: • Risk for impaired skin integrity Correct response: • Risk for impaired skin integrity Explanation: Remediation: Question 7 See full question A client with multiple myeloma presents to the emergency department complaining of excessive thirst and constipation. His family members report that he has been confused for the last day. Which laboratory value is most likely responsible for this client's symptoms? You Selected: • Serum calcium level 13.8 mg/dl (0.766 mmol/L) Correct response: • Serum calcium level 13.8 mg/dl (0.766 mmol/L) Explanation: Remediation: Question 8 See full question A nurse is caring for a client with human immunodeficiency virus (HIV). To determine the effectiveness of treatment the nurse expects the physician to order: You Selected: • quantification of T-lymphocytes. Correct response: • quantification of T-lymphocytes. Explanation: Remediation: Question 9 See full question Which client is most likely to develop systemic lupus erythematosus (SLE)? You Selected: • A 25-year-old Jewish female Correct response: • A 27-year-old black female Explanation: Remediation: Question 10 See full question A client with iron deficiency anemia is having trouble selecting food from the hospital menu. Which foods should the nurse suggest to meet the client’s need for iron? Select all that apply. You Selected: • brown rice • dark green vegetables Correct response: • eggs • brown rice • dark green vegetables Question 1 See full question A client is receiving a transfusion of packed red blood cells. To safely administer the blood, the nurse should: You Selected: • stay with the client during the first 15 minutes to detect signs or symptoms of a reaction. Correct response: • stay with the client during the first 15 minutes to detect signs or symptoms of a reaction. Explanation: Remediation: Question 2 See full question The parent brings a child to the clinic after discharge from the hospital for Guillain- Barré syndrome. Which statement by the parent indicates that the discharge plan is being followed? You Selected: • "I take her to the pool where she can exercise with other children." Correct response: • "I take her to the pool where she can exercise with other children." Explanation: Question 3 See full question A client with rheumatoid arthritis tells the nurse, “I know it is important to exercise my joints so that I will not lose mobility, but my joints are so stiff and painful that exercising is difficult.” Which response by the nurse would be most appropriate? You Selected: • "Take a warm tub bath or shower before exercising. This may help with your discomfort." Correct response: • "Take a warm tub bath or shower before exercising. This may help with your discomfort." Explanation: Remediation: Question 4 See full question The nurse is assessing a client with chronic hepatitis B who is receiving lamivudine. What information is most important to communicate to the health care provider (HCP)? You Selected: • The client's daily record indicates a 3-kg weight gain over 2 days. Correct response: • The client's daily record indicates a 3-kg weight gain over 2 days. Explanation: Remediation: Question 5 See full question After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first? You Selected: • Administer the antidote for penicillin, as ordered, and continue to monitor the client's vital signs. Correct response: • Administer epinephrine, as ordered, and prepare to intubate the client, if necessary. Explanation: Remediation: Question 6 See full question A client in a late stage of acquired immunodeficiency syndrome (AIDS) shows signs of AIDS-related dementia. Which nursing diagnosis takes highest priority? You Selected: • Complicated grieving Correct response: • Risk for injury Explanation: Remediation: Question 7 See full question Which nursing diagnosis should a nurse expect to see in a care plan for a client in sickle cell crisis? You Selected: • Acute pain related to sickle cell crisis Correct response: • Acute pain related to sickle cell crisis Explanation: Remediation: Question 8 See full question A complete blood count is commonly performed before a client goes into surgery. What does this test seek to identify? You Selected: • Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Correct response: • Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels Explanation: Remediation: Question 9 See full question A client with multiple sclerosis is taking baclofen. Which sign indicates the drug is having the intended outcome? The client: You Selected: • has relief from muscle spasms. Correct response: • has relief from muscle spasms. Explanation: Remediation: Question 10 See full question A client has extreme fatigue and is malnourished, and laboratory tests reveal a hemoglobin level of 8.5 g/dL (85 g/L). The nurse should specifically ask the client about the intake of food high in which nutrients? You Selected: • vitamins B6 and B12, folate, iron, and copper Correct response: • vitamins B6 and B12, folate, iron, and copper Explanation: Question 1 See full question The wife of a client with end-stage acquired immunodeficiency syndrome (AIDS) is caring for her husband at home. The hematologist recommends hospice care and the couple agrees. During the initial admission visit, the hospice nurse provides information to the client and his family about an advance directive. During the next day's visit, the client states that since he and his wife filled out the advance directive form, he feels abandoned by his physician. Which statement by the hospice nurse best addresses the client's concerns? You Selected: • "It's understandable to feel that way. But clients with end-stage AIDS who have advanced directives generally experience a less painful death that those individuals who don't." Correct response: • "Your physician will continue to care for you. The advance directive simply puts in writing the care you want, so he will be able to provide it if you can't tell him yourself." Explanation: Remediation: Question 2 See full question A client receiving a blood transfusion begins to have chills and headache within the first 15 minutes of the transfusion. The nurse should first: You Selected: • discontinue the transfusion. Correct response: • discontinue the transfusion. Explanation: Remediation: Question 3 See full question A client with macrocytic anemia has a burn on her foot and reports watching television while lying on a heating pad. Which action should be the nurse's first response? You Selected: • Check for diminished sensations. Correct response: • Check for diminished sensations. Explanation: Remediation: Question 4 See full question A client who had a splenectomy is being discharged. The nurse should instruct the client to: You Selected: • report early signs of infection. Correct response: • report early signs of infection. Explanation: Remediation: Question 5 See full question A nurse is to give a client heparin 8,000 units subcutaneously. The available vial is 10,000 units/mL. How many milliliters should the nurse draw up into the syringe? Record your answer using one decimal place. Your Response: • 0.8 Correct response: • 0.8 Explanation: Remediation: Question 6 See full question The client with hepatitis A is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. The most appropriate goal for this client is to: You Selected: • gradually increase activity tolerance. Correct response: • gradually i