EAQ cellular regulation

8. When a child with beta-thalassemia is receiving multiple blood transfusions, the child is at risk for which most common complication? Serum hepatitis Allergic response • Pulmonary edema Hemolytic reaction

* pulmonary edema

4. A nurse is teaching a pregnant client with sickle cell anemia about the importance of taking supplemental folic acid. Which is the rationale for the increased folic acid in a pregnancy complicated by sickle cell anemia? Lessens sickling of red blood cells (RBCs) Prevents vasoocclusive crises Decreases cellular oxygen need **Compensates for a rapid turnover of RBCs

**Compensates for a rapid turnover of RBCs

15. Which complication would the nurse expect in relation to lead toxicity? Select all that apply. Anemia Proteinuria Heart failure Encephalopathy Gastrointestinal bleeding

* Anemia * Proteinuria * Encephalopathy

16. Which instruction would be included when counseling a woman who is on hormonal therapy? Select all that apply. *Use appropriate sun protection. *Monitor any deviations in body weight. Take the medication on an empty stomach. Discontinue the medication if adverse effects occur. *Take oral medication at the same time every day.

* Take oral medication at the same time every day. * Use appropriate sun protection. *Monitor any deviations in body weight.

1. The nurse is caring for a client diagnosed with Cushing syndrome. Which finding will the nurse expect to find upon assessment? *Lability of mood Hair thinning Increased skin thickness Ectomorphism

A: lability of mood

17. Which statement is true regarding type 1 diabetes mellitus? Select all that apply.

It causes weakness and fatigue. It decreases libido and disturbs body image. It frequently results in complications.

12. Which teratogenic effect may occur if a pregnant client was prescribed cyclophosphamide? Select all that apply. Shortened limbs *Hearing defects Internal organ defects *Cleft palate Congenital diaphragmatic hernia

* Hearing defects *Cleft palate Rationale:Cyclophosphamide is a drug used in the treatment of cancer. It is shown to have teratogenic effect if taken during pregnancy. The teratogenic effects may include craniofacial malformations such as cleft palate, hearing defects, and limb defects, as well as others. Shortened limbs and internal organ defects are the teratogenic effects associated with thalidomide taken by the mother for the treatment of complications associated with leprosy or multiple myeloma. Congenital diaphragmatic hernia can occur with methotrexate, a drug taken by the mother for the treatment of certain cancers, rheumatoid arthritis, Crohn disease, or psoriasis.

18. Which finding would the nurse expect when assessing a client with hyperthyroidism? Select all that apply. Lethargy * Tachycardia Weight gain Constipation * Exophthalmos

* Tachycardia * Exophthalmos * Rationale Tachycardia is associated with hyperthyroidism and is caused by the increase in the basal metabolic rate. Exophthalmos is associated with hyperthyroidism and results from accumulation of fluid behind the eyeball. Lethargy is associated with hypothyroidism; hyperactivity occurs with hyperthyroidism. Weight gain occurs with hypothyroidism. Weight loss occurs with hyperthyroidism because of the high metabolic rate. Constipation is associated with hypothyroidism, while frequent loose stools occur with hyperthyroidism.

6. Which immediate action would the nurse take when the client has bright-red, bloody emesis? *Have the client sit upright. Notify the health care provider immediately. Start the client on 2 liters of oxygen. Encourage the client to drink cold water.

* have the client sit upright.

13. Which clinical finding would the nurse anticipate when caring for a child with newly diagnosed acute lymphoblastic leukemia? Select all that apply. *Pallor *Fatigue Jaundice *Multiple bruises Generalized edema

* pallor *Fatigue * multiple bruises

2. Which growth pattern would the nurse expect in a newborn? Select all that apply. 10% weight gain within the first few days of life *A birth length of 48 to 53 cm (19 to 21 in) *A birth weight of 2700 to 4000 g (6 to 9 Ib) *A weight loss of 5% to 10% within the first few days of life *A head circumference of 33 to 35 cm (13 to 14 in)

*A birth length of 48 to 53 cm (19 to 21 in) *A birth weight of 2700 to 4000 g (6 to 9 Ib) *A weight loss of 5% to 10% within the first few days of life *A head circumference of 33 to 35 cm (13 to 14 in)

14. Which action describes the correct administration of levothyroxine to a client with hypothyroidism? Administer at bedtime to decrease adverse effects Provide crackers and juice 10 minutes before administration Assess the client's internationalized ratio (INR) prior to administration *Advise client to take the medication upon rising on an empty stomach

*Advise client to take the medication upon rising on an empty stomach

10. Which intervention would the nurse implement for a client with peripheral arterial disease (PAD) whose plan of care lists "skin breakdown caused by inadequate circulation" as a problem? *Advise the client not to walk barefoot. Cut toenails short and in a curved shape. Inspect the feet weekly for signs of lesions. Apply a pressure dressing to any ulcerated areas.

*Advise the client not to walk barefoot.

7. Which therapy goal would the nurse consider when administering allopurinol to a client with gout? Increase bone density. Decrease synovial swelling. *Decrease uric acid production. Prevent crystallization of uric acid.

*Decrease uric acid production.

9. Which criterion indicates that a drug may be a teratogen? Select all that apply. *It has shown unsafe use in animal studies. *It may cause fetal malformations. The teratogenic effect is dose dependent. *The drug acts in the fetal stage of gestation. It causes malformations if an increased dose during pregnancy is used.

*It has shown unsafe use in animal studies. *It may cause fetal malformations. *The drug acts in the fetal stage of gestation.

11. Which aspect of postoperative care for a client undergoing an aortic dissection repair would the nurse prioritize as most important? Managing the client's pain Inserting a nasogastric tube Assessing the client's dressing for drainage *Keeping blood pressure at the lowest possible level

*Keeping blood pressure at the lowest possible level

3. client is admitted to the hospital with jaundice. After numerous diagnostic tests, the health care provider diagnoses the client with cancer of the pancreas. Which is the most likely cause of the client's jaundice? Necrosis of the pancreatic parenchyma caused by the neoplasn Excessive serum bilirubin caused by red blood cell destruction **Obstruction of the common bile duct by the pancreatic neoplasn Impaired liver function resulting in incomplete bilIrubin metabolism

*Obstruction of the common bile duct by the pancreatic neoplasn

5. Which statement is true in regard to secondary intention in wound healing? The skin edges are close together. A larger and deeper scar is formed. A little tissue is lost from the wound. ** The wound may develop purulent exudate when the tissue dies.

*The wound may develop purulent exudate when the tissue dies.