Question 1: A client with suspected appendicitis is reporting increased abdominal pain. Which finding requires immediate intervention?
Rationale: Sudden cessation of pain may indicate rupture of the appendix, which is a surgical emergency.
Question 2: A nurse is teaching a client with a new prescription for enoxaparin. Which instruction is most important to include?
Rationale: Avoiding massage at the injection site prevents hematoma formation and tissue damage.
Question 3: A client receiving chemotherapy reports nausea. What is the nurse’s priority intervention?
Rationale: Administering prescribed antiemetics is the priority to control nausea and improve the client’s comfort.
Question 4: A nurse is caring for a client with hypothyroidism. Which symptom suggests the need for immediate intervention?
Rationale: Altered mental status may indicate myxedema coma, a life-threatening complication of severe hypothyroidism.
Question 5: A client with a history of deep vein thrombosis (DVT) is prescribed warfarin. Which lab value requires immediate follow-up?
Rationale: An INR of 4.5 is above the therapeutic range and increases the risk of bleeding, requiring immediate adjustment of warfarin therapy.
