NURS242 MED SURG EXAM 1 LATEST 200 ACTUAL EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS) GRADED A+

A health care provider prescribes 0.2 mg of cyanocobalamin (vitamin B) intramuscularly. A vial of the medication labeled 100 mcg = 1 mL is available. How many milliliters of solution will the nurse administer? ___ mL The prescribed dose is 0.2 mg. The available concentration is 100 mcg/mL. Use dimensional analysis and/or ratio and proportion to determine the appropriate dose in milliliters. Test-Taking Tip: when taking the NCLEX exam, an on-screen calculator will be available for you to determine your response, which you will then type in the provided space. 2 ml A client had part of the ileum surgically removed. The nurse monitors the client closely for anemia based on which rationale? Cobalamin is absorbed in the ileum. The parents of a child with sickle cell anemia (SSA) tell the nurse, "We have never had any symptoms of SSA and do not understand why our child has this problem." Which information will the nurse include when teaching the parents? If both parents are carriers of SSA, there is a 25% chance that offspring will have SSA. Which cause of anemia would the nurse recognize as the most common cause of anemia in 1-year-olds? Iron deficiency When a client develops iron-deficiency anemia, which of the client's laboratory test results would the nurse expect to be decreased? Ferritin level An adolescent child with sickle cell anemia is admitted to the pediatric unit during a vaso-occlusive crisis. Which pathophysiology is correct? Blockage of small blood vessels as a result of clumping of RBCs Which is the most appropriate nursing intervention for an adolescent child with sickle cell anemia? Teaching the family how to limit sickling episodes The nurse is helping an adolescent with iron-deficiency anemia make breakfast meal choices. Which food would the nurse suggest? Bowl of raisin bran The parent of a child with sickle cell anemia tells the nurse that the family is going camping by a lake in the mountains this summer. The parent inquires what activities are appropriate. Which activity would the nurse suggest? Motorboat rides around the lake The nurse concludes that the teaching about sickle cell anemia has been understood when an adolescent with the disorder makes which statement? "I'll start to have symptoms when I drink less fluid." Which decreased hormone level may cause a client's anemia? Erythropoietin A child who has iron-deficiency anemia tells the school nurse, "I get dizzy in gym class." Which is the most likely explanation for this symptom? Insufficient cerebral oxygenation A child with sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which interventions would be implemented after the pain is under control? Select all that apply. One, some, or all responses may be correct. Rehydration, Oxygen (O 2) therapy A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would the nurse explain to the client? Decrease in erythropoietin Which is the priority nursing intervention to prevent thrombus formation in a child with sickle cell anemia? Encouraging fluids Which common concern of most parents of children with sickle cell anemia would the nurse address at a family education conference? Sharing feelings regarding the transmission of the disorder The nurse is teaching the parents of a child with sickle cell anemia about ways to prevent sickling. Which would the nurse explain as the primary cause of sickling? Hypoxia Which laboratory result in a client who has just been admitted with anemia of unknown etiology requires the most rapid action by the nurse? White blood cell counts 950 mm 3 (950 × 10 9/L The nurse assesses a client for the development of pernicious anemia after reviewing the client's history. Which condition did the nurse most likely find in the history? Partial gastrectomy Which instruction would the nurse give to the pregnant client with anemia? Drink orange juice with an iron supplement Which nursing interventions are most important in the care of an infant with iron-deficiency anemia? Select all that apply. One, some, or all responses may be correct. Conserving the infant's energy, Protecting the infant from infection, Teaching the parents about nutrition The nurse is teaching the parents of a child who is prescribed iron supplements for iron-deficiency anemia. Which food would the nurse encourage to provide to enhance absorption of iron? Orange juice Which foods would the nurse suggest for inclusion in a toddler's diet who has been diagnosed with iron-deficiency anemia? Gingerbread molasses cookies Which assessments beyond the standard would be made at every prenatal visit when the client has sickle cell anemia? Select all that apply. One, some, or all responses may be correct. Evidence of urinary tract infection, Presence of hyperemesis gravidarum Which iron-rich foods would the nurse encourage the client with mild anemia in early pregnancy to eat? Select all that apply. One, some, or all responses may be correct. liver, meats, whole grain or enriched breads, dark green leafy vegetables, legumes, and dried fruits How would the nurse explain physiological anemia to a pregnant client? Plasma volume increases A transfusion of packed red blood cells is prescribed for a client with anemia. List the actions in the order in which they will be performed by the nurse. A client must sign a consent for the transfusion before the procedure; clients have the right to refuse. Vital signs should be obtained immediately before the transfusion to serve as a baseline for comparison if a reaction is suspected. Two nurses must verify that the numbers, ABO type, and Rh type on the blood label and laboratory record match before hanging the transfusion to minimize risk of transfusion reactions. Clean gloves must be worn before inserting the spike of the blood administration set. The transfusion is run slowly for the first 15 to 20 minutes, but only after other steps have been completed. A client with upper gastrointestinal (GI) bleeding develops mild anemia. Which agent is indicated for treatment of this condition? Iron salts A client develops hemolytic anemia. Which client medication can cause this adverse effect? Methyldopa Parents of a child with sickle cell anemia ask about their child taking iron supplements to help treat the anemia. How will the nurse respond? Taking supplements will not help with this condition A client with a diagnosis of anemia is receiving packed red blood cells. Which nursing action is important when administering the transfusion? Monitoring the client's response, particularly within the first 10 minutes