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NEW QUESTION 46
A client has been diagnosed with thrombophlebitis. She asks, "What is the most likely cause of thrombophlebitis during my pregnancy?" The nurse explains:

• A. An increase in fibrinolysis and a decrease in coagulation factors
• B. An inadequate intake of folic acid during pregnancy
• C. Increased levels of the coagulation factors and a decrease in fibrinolysis
• D. An inadequate production of platelets

Answer: C

Explanation:
Explanation
(A) During pregnancy, the potential for thromboses increases owing to the increased levels of coagulation factors and a decrease in the breakdown of fibrin. (B) An inadequate production of platelets would result in thrombocytopenia with resulting signs and symptoms of bleeding such as petechiae, hematuria, or hematemesis. (C) A deficiency of folic acid during pregnancy produces a megaloblastic anemia. It is usually found in combination with iron deficiency. (D) This combination would result in bleeding disorders because more fibrin would be broken down and fewer clotting factors would be available.

NEW QUESTION 47
A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

• A. 0.5 ng/mL
• B. 1.0 ng/mL
• C. 2.0 ng/mL
• D. 3.0 ng/mL

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) 0.5 ng/mL of digoxin is a subtherapeutic level, not a toxic one. (B) 1.0 ng/mL is a therapeutic level. (C)
2.0 ng/mL is a therapeutic level. (D) Digoxin's therapeutic level is 0.8-2.0 ng/mL. Digoxin's toxic level is
>2.0 ng/mL.

NEW QUESTION 48
The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following statements by the nurse is appropriate when preparing a child for a potentially painful procedure?

• A. "This is going to hurt a lot; close your eyes and hold my hand."
• B. "This will hurt only a little; try to be a big boy."
• C. "This is a terrible procedure, so don't look."
• D. "Some say this feels like a pinch or a bug bite. You tell me what it feels like."

Answer: D

Explanation:
(A)
Educating the child about the pain may lessen anxiety. The child should be prepared for a potentially painful procedure but avoid suggesting pain. The nurse should allow the child his own sensory perception and evaluation of the procedure. (B) The nurse should avoid absolute descriptive statements and allow the child his own perception of the procedure.
(C)
The nurse should avoid evaluative statements or descriptions and give the child control in describing his reactions. (D) False statements regarding a painful procedure will cause a loss of trust between the child and the nurse.

NEW QUESTION 49
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