Page 1332 - Saunders Comprehensive Review For NCLEX-RN
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2. Peritonitis
                                 3. Hemorrhage
                                 4. Fistula formation
                                 5. Bowel perforation
                                 6. Lactose intolerance
                   468. The nurse is caring for a client following a mastectomy. Which nursing
                        intervention would assist in preventing lymphedema of the affected arm?
                                 1. Placing cool compresses on the affected arm
                                 2. Elevating the affected arm on a pillow above heart level
                                 3. Avoiding arm exercises in the immediate postoperative period
                                 4. Maintaining an intravenous site below the antecubital area on the
                                   affected side
                   469. The nurse is providing dietary teaching for a client with a diagnosis of
                        chronic gastritis. The nurse instructs the client to include which foods rich in
                        vitamin B  in the diet? Select all that apply.
                                  12
                                       1. Nuts

                                       2. Corn

                                       3. Liver

                                       4. Apples
                                       5. Lentils

                                       6. Bananas

                   470. The nurse is instructing a client with iron deficiency anemia regarding the
                        administration of a liquid oral iron supplement. Which instruction should
                        the nurse tell the client?
                                 1. Administer the iron at mealtimes.
                                 2. Administer the iron through a straw.
                                 3. Mix the iron with cereal to administer.
                                 4. Add the iron to apple juice for easy administration.
                   471. Laboratory studies are performed for a client suspected to have iron
                        deficiency anemia. The nurse reviews the laboratory results, knowing that
                        which result indicates this type of anemia?
                                 1. Elevated hemoglobin level
                                 2. Decreased reticulocyte count
                                 3. Elevated red blood cell count
                                 4. Red blood cells that are microcytic and hypochromic



               Answers


                   443. Answer: 1


                  Rationale: Findings indicative of multiple myeloma are an increased number of
               plasma cells in the bone marrow, anemia, hypercalcemia caused by the release of
               calcium from the deteriorating bone tissue, and an elevated blood urea nitrogen



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