Exam 2 Module 3 Module 4- FSCJ 1460C Latest

Exam 2 Module 3 & Module 4- FSCJ 1460C Latest Update - Sources with 220 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription?

• Injection of factor X
• Intravenous infusion of iron
• Intravenous infusion of factor VIII
• Intramuscular injection of iron using the Z-track method - CORRECT ANSWER: c.

Intravenous infusion of factor VIII

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis?

• Lumbar puncture showing no blast cells
• Bone marrow biopsy showing blast cells
• Platelet count of 350,000 mm3 (350 × 109/L)

d. White blood cell count 4500 mm3 (4.5 × 109/L) - CORRECT ANSWER: b. Bone

marrow biopsy showing blast cells

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers.Which response should the nurse provide to the grandmother?

• "I have a vase in the utility room, and I will get it for you." 1 / 4

• "I will get the vase and wash it well before you put the flowers in it."
• "The flowers from your garden are beautiful, but should not be placed in the child's

room at this time."

• "When you bring the flowers into the room, place them on the bedside stand as far

away from the child as possible." - CORRECT ANSWER: c. "The flowers from your garden are beautiful, but should not be placed in the child's room at this time."

A child undergoes surgical removal of a brain tumor. During the postoperative period, the nurse notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action?

• Place the child in a supine position.
• Place the child in Trendelenburg's position.
• Increase the flow rate of the intravenous fluids.
• Notify the primary health care provider (PHCP). - CORRECT ANSWER: d. Notify the

primary health care provider (PHCP).

A child with β-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate being prescribed?

• Fragmin
• Meropenem
• Metoprolol

d. Deferoxamine - CORRECT ANSWER: d. Deferoxamine

A client asks the nurse why his colorectal cancer is being tested for genetic mutations even though no one else in the family has ever had cancer. What is the nurse's best response?

• "Colorectal cancer is rare and most cases are caused by a genetic mutation."
• "The results of this testing will indicate what caused your cancer so you can avoid

further exposure."

• "Many tumors have one or more genetic differences that can help determine the

most effective treatment options." 2 / 4

• "Genetic testing of tumor cells can help determine the stage of your cancer and

whether it has spread to other organs." - CORRECT ANSWER: C. "Many tumors have one or more genetic differences that can help determine the most effective treatment options."

A client begins therapy with theophylline. The nurse plans to teach the client to limit the intake of which items while taking this medication?

• Coffee, cola, and chocolate
• Oysters, lobster, and shrimp
• Melons, oranges, and pineapple

d. Cottage cheese, cream cheese, and dairy creamers - CORRECT ANSWER: a.

Coffee, cola, and chocolate

A client brought to the emergency department states that he has accidentally been taking 2 times his prescribed dose of warfarin for the past week. After noting that the client has no evidence of obvious bleeding, the nurse plans to take which action?

• Prepare to administer an antidote.
• Draw a sample for type and crossmatch and transfuse the client.
• Draw a sample for an activated partial thromboplastin time (aPTT) level.
• Draw a sample for prothrombin time (PT) and international normalized ratio (INR). -

CORRECT ANSWER: d. Draw a sample for prothrombin time (PT) and international

normalized ratio (INR).

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that she or he will perform which action?

• Take an extra dose if fever develops
• Take the medication with meals only
• Take the tablet with a full glass of water
• Decrease the amount of daily fluid intake - CORRECT ANSWER: c. Take the tablet

with a full glass of water

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A client has been admitted to the hospital for gastroenteritis and dehydration. The nurse determines that the client has received adequate volume replacement if the blood urea nitrogen (BUN) level drops to which value?

• 3 mg/dL (1.08 mmol/L)
• 15 mg/dL (5.4 mmol/L)
• 29 mg/dL (10.44 mmol/L)

d. 35 mg/dL (12.6 mmol/L) - CORRECT ANSWER: b. 15 mg/dL (5.4 mmol/L)

A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication?

• Should always be taken with food or antacids
• Should be double-dosed if 1 dose is forgotten
• Causes orange discoloration of sweat, tears, urine, and feces
• May be discontinued independently if symptoms are gone in 3 months - CORRECT

ANSWER: c. Causes orange discoloration of sweat, tears, urine, and feces

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?

• Hypercalcemia
• Peripheral neuritis
• Small blood vessel spasm

d. Impaired peripheral circulation - CORRECT ANSWER: b. Peripheral neuritis

A client has experienced pulmonary embolism. The nurse should assess for which symptom, which is most commonly reported?

• Hot, flushed feeling
• Sudden chills and fever
• Chest pain that occurs suddenly

d. Dyspnea when deep breaths are taken - CORRECT ANSWER: c. Chest pain that

occurs suddenly

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