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100%)Already Graded A+\LATEST UPDATE
2025-2026 (RATIONALES WELL EXPLAINED)
***A client with multiple A. Platelet count
sclerosis is receiving B. Red blood cell count (RBC)
beta- 1b interferon every C. White blood cell count (WBC).
other day. To assess for
possible bone marrow
suppression caused by
the medication, which
serum laboratory test
findings should the
nurse monitor? (Select all
that apply)
A. Platelet count
B. Red blood cell count
(RBC)
C. White blood cell count
(WBC).
D. Albumin and protein
E. Sodium and potassium
The client with which type A. Laceration
of wound is most likely to
need immediate Rationale: A laceration is a wound that is produced by
intervention by the nurse? the tearing of soft body tissue. This type of wound is
A. Laceration often irregular and jagged. A laceration wound is
B. Abrasion often contaminated with bacteria and debris from
C. Contusion whatever object caused the cut.
D. Ulceration
,When caring for a client A. To reduce abdominal pressure on the diaphragm
who has acute respiratory
distress syndrome (ARDS), Rationale: a semi-sitting position is the best position
the nurse elevates the for matching ventilation and perfusion and for
head of the bed 30 decreasing abdominal pressure on the diaphragm, so
degrees. What is the that the client can maximize breathing.
reason for this
intervention?
A. To reduce abdominal
pressure on the
diaphragm
B. To promote retraction
of the intercostal
accessory muscle of
respiration
C. To promote
bronchodilation and
effective airway clearance
D. To decrease pressure
on the medullary center
which stimulates breathing
,When assessing a mildly D. The gallbladder is normal
obese 35-year-old female
client, the nurse is unable Rationale: a normal healthy gallbladder is not
to locate the gallbladder palpable
when palpating below the
liver margin at the lateral
border of the rectus
abdominal muscle. What is
the most likely explanation
for failure to locate the
gallbladder by palpation?
A. The client is too obese
B. Palpating in the wrong
abdominal quadrant
C. Deeper palpation
technique is needed
D. The gallbladder is
normal
, A woman with an anxiety C. Inform her that some antianxiety medications are
disorder calls her safe to take while breastfeeding
obstetrician's office and
tells the nurse of Rationale: there are several antianxiety medications
increased anxiety since that are not contraindicated for breastfeeding
the normal vaginal mothers.
delivery of her son three
weeks ago. Since she is
breastfeeding, she
stopped taking her
antianxiety medications,
but thinks she may need to
start taking them again
because of her increased
anxiety. What response is
best for the nurse to
provide this woman?
A. Describe the
transmission of drugs to
the infant through breast
milk
B. Encourage her to use
stress relieving
alternatives, such as deep
breathing exercises
C. Inform her that some
antianxiety medications
are safe to take while
breastfeeding
D. Explain that anxiety is a
normal response for the
mother of a 3-week-old.