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Davis Edge Question of the Week #28

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Question:
The nurse is reviewing the red blood cells lab reports of several children who completed their treatment regimens to improve their anemia. Which child‘s condition is most improved due to the treatment?

28-q-of-the-week

Question Options:
1.) Child 1
2.) Child 2
3.) Child 3
4.) Child 4

Correct Option/Answers: 2

Rationale:
Option 1: Child 1 shows decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 2: The normal red cell lab values in children are:
Mean corpuscular volume: 79-95 µm3
Mean corpuscular hemoglobin: 25-3 pg/cell
Mean cell hemoglobin concentration: 31%-37% Hgb [g]/dl RBC
Reticulocyte count: 0.5%-1.5%
The red cell lab values of Child 2 are normal and indicate that the child has received effective treatment.
Option 3: The laboratory reports of Child 3 show decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 4: Child 4 has decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.

Davis Edge Question of the Week #27

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Question:
A nurse is assessing four student nurses while adding sterile solution to the sterile field. Which student nurse’s action is correct?

27-nclex-q

Question Options:
1.) Student A
2.) Student B
3.) Student C
4.) Student D

Correct Option/Answers: 3

Rationale:
Option 1: The student nurse should hold the sterile solution 4 to 6 inches above the sterile field. Pouring the sterile solution from 9 inches would lead to splashing, which in turn contaminates the sterile field.
Option 2: Student B should not store the sterile solution for further use. Reusing the opened container will lead to contamination.
Option 3: Student C’s action is correct. The sterile bowl should be placed at the corner of the sterile field, which would prevent the nurse from reaching over and contaminating the field.
Option 4: Student D should wear the gloves after adding the supplies to the sterile field. Adding supplies after donning the sterile gloves would contaminate them.

Davis Edge Question of the Week #23

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Question:
Which intervention of the new nurse when administering heparin to a client with venous thrombosis requires correction?

Question Options:
1.) Administering heparin into the umbilicus
2.) Avoiding massaging the site of administration
3.) Avoiding the administering of medication at the same site of injection repeatedly
4.) Administering heparin into the deep subcutaneous tissue of the abdomen

Correct Option/Answers: 1

Rationale:
Option 1: Administering heparin into the umbilicus increases the risk of bleeding. Therefore, the nurse should administer heparin at least 2 inches away from the umbilicus.
Option 2: Providing massage at the site of injection may cause tissue damage and may result in bruising. Therefore, the nurse should avoid massaging the site of administration.
Option 3: The nurse should avoid giving the injection at the same site repeatedly in order to prevent tissue damage and necrosis.
Option 4: Administering heparin into superficial skin layers results in skin irritation. Therefore, the nurse should administer heparin into the deep subcutaneous tissue of the abdomen.

Davis Edge NCLEX Question of the Week #18

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Question
What is the reason behind possible glucose intolerance in an aging client?

Question Options:
1.) Decreased lipase and reserve of the pancreas
2.) Decreased number and size of the liver cells
3.) Decreased villae, enzymes, and motility in the small intestine
4.) Decreased protein synthesis of the liver

Correct Option(s): 1

Rationale
Option 1: Decreased lipase and reserve of the pancreas is responsible for possible glucose intolerance in an aging client.
Option 2: Decreased number and size of the liver cells in the aging client reduces metabolism of drugs and the ability to detoxify.
Option 3: Decreased villae, enzymes, and motility in the small intestine is responsible for decreased absorption of nutrients and fat-soluble vitamins in an aging client.
Option 4: Reduced protein synthesis of the liver in an aging client diminishes the metabolism of drugs and ability to detoxify.

Davis Edge NCLEX Question of the Week #17

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Question
Which condition is associated with the congenital absence of Meissner’s and Auerbach’s autonomic plexus?

Question Options:
1.) Encopresis
2.) Crohn’s disease
3.) Hirschsprung’s disease
4.) Gastroesophageal reflux disease

Correct Option(s): 3

Rationale:
Option 1: Encopresis is the presence of stool incontinence in clients over 4 years of age. This condition is not associated with the absence of Meissner’s and Auerbach’s autonomic plexus.
Option 2: Crohn’s disease is an inflammatory bowel disease. It is not associated with the absence of Meissner’s and Auerbach’s autonomic plexus.
Option 3: A client with Hirschsprung’s disease will have the absence of Meissner’s and Auerbach’s autonomic plexus resulting in a lack of motility.
Option 4: Gastroesophageal reflux disease is a condition where the stomach contents are expelled through the lower esophageal sphincter. It is not associated with the absence of Meissner’s and Auerbach’s autonomic plexus.