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1. 1Following long-term administration of warfarin sodium to a client with a
medical diagnosis of deep vein thrombosis, the nurse should expect which
treatment?
a. The hemoglobin will be greater than 10 g/dl
b. The hematocrit will be less than 35%
c. The PT will be 1.5 times the normal
d. The PTT will be 1.5 times the normal
Ans. C
2. A client who has been taking finasteride, an enzyme (5 alpha reductase)
inhibitor used to shrink the prostate gland, is admitted because of continuing
benign prostate prostatic hypertrophy (BPH) symptoms when planning care.
Which nursing problem should the nurse address first?
a. Chronic pain
b. Urinary retention
c. Risk for infection
d. Disturbed sleep pattern
Ans. B
3. An older client has been diagnosed with chronic venous insufficiency. To
prevent venous return, which action should the nurse encourage the client to
a. Wear cotton socks and enclosed toe shoes whenever outside
b. Drink 8 to 10 ounces of water a day
c. Sit at the side of the bed for 15 minutes before standing
d. Lie down in bed 2 times a day
Ans. A
4. When caring for a client with a full thickness burn covering 40% of the body,
the nurse observes pertinent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse should review which of the client’s
laboratory values?
a. Hematocrit
b. Platelet count
c. White blood cell (WBC) count
d. Blood pH level
Ans. C
5. An older client arrives at the outpatient eye surgery clinic for a right cataract
extraction and implant. During the immediate postoperative period, which
intervention should the nurse implement
a. Provide an eye shield to be worn while sleeping
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