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The physician has scheduled a whipple procedure for a

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113.The physician has scheduled a Whipple procedure for a client with pan-creatic cancer. The nurse recognizes that the client’s cancer is located in:A.The tail of the pancreasB.The head of the pancreasC.The body of the pancreasD.The entire pancreas114.A child with cystic fibrosis is being treated with inhalation therapy withPulmozyme (dornase alfa). A side effect of the medication is:A.Weight gainB.Hair lossC.Sore throatD.Brittle nails115.Four days after delivery, a client develops complications of postpartalhemorrhage. The most common cause of late postpartal hemorrhage is:A.Uterine atonyB.Retained placental fragmentsC.Cervical lacerationD.Perineal tears2018 Exam 2 and Rationales103
116.On a home visit, the nurse finds four young children alone. The youngestof the children has bruises on the face and back and circular burns onthe inner aspect of the right forearm. The nurse should:A.Contact child welfare servicesB.Transport the child to the emergency roomC.Take the children to an abuse shelterD.Stay with the children until an adult arrives117.A client is diagnosed with post-traumatic stress disorder following a rapeby an unknown assailant. The nurse should give priority to:A.Providing a supportive environmentB.Controlling the client’s feelings of angerC.Discussing the details of the attackD.Administering a hypnotic for sleep118.The doctor has ordered Percocet (oxycodone) for a client followingabdominal surgery. The primary objective of nursing care for the clientreceiving an opiate analgesic is:A.Preventing addictionB.Alleviating painC.Facilitating mobilityD.Preventing nausea119.A client with emphysema is receiving intravenous aminophylline. Whichaminophylline level is associated with signs of toxicity?A.5 micrograms/mLB.10 micrograms/mLC.20 micrograms/mLD.25 micrograms/mL120.Which finding is the best indication that a client with ineffective airwayclearance needs suctioning?A.Oxygen saturationB.Respiratory rateC.Breath soundsD.Arterial blood gases104Chapter 2
121.A client with tuberculosis has a prescription for Myambutol (ethambutolHCl). The nurse should tell the client to notify the doctor immediately ifhe notices:A.Gastric distressB.Changes in hearingC.Red discoloration of body fluidsD.Changes in color vision

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