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Questions 149

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Question 1 of 5

A 17-year-old adolescent, diagnosed with schizophrenia, is admitted by the nurse to a psychiatric facility. Which behaviors would characterize this diagnosis? Select all that apply.

Correct Answer: A,C

Rationale: Flat affect and hallucinations are hallmark symptoms of schizophrenia. Fast speech or feeling energized may occur but are not specific to this diagnosis.

Question 2 of 5

A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan?

Correct Answer: C

Rationale: Hepatitis C increases bleeding risk, so coagulation studies are done before a liver biopsy to ensure safety. The client lies on the right side post-procedure, enemas aren't needed, and the procedure is invasive with some pain.

Question 3 of 5

Vitamin K is administered to the newborn shortly after birth for which of the following reasons?

Correct Answer: D

Rationale: Vitamin K is given to newborns to facilitate clotting, preventing hemorrhagic disease due to low vitamin K levels.

Question 4 of 5

The nurse is formulating a plan of care for a client with a goiter. The priority nursing diagnosis for the client with a goiter is:

Correct Answer: D

Rationale: A goiter can compress the trachea, posing a risk for airway obstruction, making ineffective airway clearance the priority nursing diagnosis.

Question 5 of 5

The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?

Correct Answer: C

Rationale: Knowledge deficit is a priority, as education on managing juvenile diabetes is critical for long-term health and compliance.

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