AFL1501 Assignment 4 Top Tier Correctly Answered
and Graded Excellently 100% A+
A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a
minor trauma. How is hemophilia inherited?
1
X-linked recessive trait
2
Y-linked recessive trait
3
X-linked dominant trait
4
Y-linked dominant trait - CORRECT ANSWER ✔✔ -1
A client comes to the emergency department reporting chest pain and difficulty breathing. A
chest x-ray reveals a pneumothorax. Which finding should the nurse expect to identify when
assessing the client?
1
Distended neck veins
2
,Paradoxical respirations
3
Increasing amounts of purulent sputum
4
Absence of breath sounds over the affected area - CORRECT ANSWER ✔✔ -4
A client develops internal bleeding after abdominal surgery. Which signs and symptoms of
hemorrhage should the nurse expect the client to exhibit? Select all that apply.
1
Pallor
2
Polyuria
3
Bradypnea
4
Tachycardia
5
Hypertension - CORRECT ANSWER ✔✔ -1, 4
A client had a total knee replacement several days ago and has been receiving warfarin sodium
therapy. An international normalized ratio (INR) is performed each afternoon, and the evening
,warfarin sodium dose is prescribed by the healthcare provider on a daily basis. The nurse
identifies that the afternoon INR is 4.6. Which is the next action the nurse should take?
1
Assist with meal planning to decrease the intake of foods high in vitamin K
2
Obtain a blood specimen to have a partial thromboplastin time performed
3
Contact the healthcare provider to request the day's dosage of warfarin sodium
4
Maintain the client on bed rest until the healthcare provider reviews the laboratory results -
CORRECT ANSWER ✔✔ -4
A client has a pulse deficit. Which documentation by the nurse supports this finding?
1
Blood pressure of 130/70 mm Hg indicating pulse deficit of 60.
2
Capillary refill greater than 3 seconds indicating pulse deficit.
3
Apical pulse 86 and radial pulse 78 indicating pulse deficit of 8.
4
, Radial pulse 80 and pedal pulse 70 indicating pulse deficit of 10. - CORRECT ANSWER ✔✔ -3
A client has surgery to replace a prolapsed mitral valve. What should the nurse teach the client?
1
The signs and symptoms of pericarditis
2
The signs and symptoms of heart failure
3
That cardiac surgery will have to be done eventually for the other valves
4
That cardiac surgery will have to be done every six months to replace the valve - CORRECT
ANSWER ✔✔ -2
A client is admitted to the hospital for a total hip replacement. Included in the primary healthcare
provider's prescriptions is a prescription for digoxin 2.5 mg by mouth daily. The nurse knows
that digoxin is supplied in 0.125 mg tablets. What should the nurse do?
1
Give half a tablet.
2
Administer two tablets.
3
and Graded Excellently 100% A+
A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a
minor trauma. How is hemophilia inherited?
1
X-linked recessive trait
2
Y-linked recessive trait
3
X-linked dominant trait
4
Y-linked dominant trait - CORRECT ANSWER ✔✔ -1
A client comes to the emergency department reporting chest pain and difficulty breathing. A
chest x-ray reveals a pneumothorax. Which finding should the nurse expect to identify when
assessing the client?
1
Distended neck veins
2
,Paradoxical respirations
3
Increasing amounts of purulent sputum
4
Absence of breath sounds over the affected area - CORRECT ANSWER ✔✔ -4
A client develops internal bleeding after abdominal surgery. Which signs and symptoms of
hemorrhage should the nurse expect the client to exhibit? Select all that apply.
1
Pallor
2
Polyuria
3
Bradypnea
4
Tachycardia
5
Hypertension - CORRECT ANSWER ✔✔ -1, 4
A client had a total knee replacement several days ago and has been receiving warfarin sodium
therapy. An international normalized ratio (INR) is performed each afternoon, and the evening
,warfarin sodium dose is prescribed by the healthcare provider on a daily basis. The nurse
identifies that the afternoon INR is 4.6. Which is the next action the nurse should take?
1
Assist with meal planning to decrease the intake of foods high in vitamin K
2
Obtain a blood specimen to have a partial thromboplastin time performed
3
Contact the healthcare provider to request the day's dosage of warfarin sodium
4
Maintain the client on bed rest until the healthcare provider reviews the laboratory results -
CORRECT ANSWER ✔✔ -4
A client has a pulse deficit. Which documentation by the nurse supports this finding?
1
Blood pressure of 130/70 mm Hg indicating pulse deficit of 60.
2
Capillary refill greater than 3 seconds indicating pulse deficit.
3
Apical pulse 86 and radial pulse 78 indicating pulse deficit of 8.
4
, Radial pulse 80 and pedal pulse 70 indicating pulse deficit of 10. - CORRECT ANSWER ✔✔ -3
A client has surgery to replace a prolapsed mitral valve. What should the nurse teach the client?
1
The signs and symptoms of pericarditis
2
The signs and symptoms of heart failure
3
That cardiac surgery will have to be done eventually for the other valves
4
That cardiac surgery will have to be done every six months to replace the valve - CORRECT
ANSWER ✔✔ -2
A client is admitted to the hospital for a total hip replacement. Included in the primary healthcare
provider's prescriptions is a prescription for digoxin 2.5 mg by mouth daily. The nurse knows
that digoxin is supplied in 0.125 mg tablets. What should the nurse do?
1
Give half a tablet.
2
Administer two tablets.
3
