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Questions 227

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Extract:


Question 1 of 5

A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape. Implementing counseling by the nurse specialist for the raped victim represents:

Correct Answer: B

Rationale: Counseling by a rape crisis nurse specialist is a form of crisis intervention, providing immediate support to address the trauma. It is not merely assessment, empathy, or intrusion. Coordinated Care

Question 2 of 5

The nurse is teaching a client about the difference between tardive dyskinesia (TD) and neuroleptic malignant syndrome (NMS). Which statement is true with regards to tardive dyskinesia?

Correct Answer: B

Rationale: Tardive dyskinesia is an extrapyramidal side effect that typically develops after prolonged use of antipsychotic drugs, often longer than 2 years, and is not easily reversible or treated with anticholinergics.

Extract:

A patient has been receiving a cardiac glycoside, a diuretic, and a vasodilator and is on bedrest. The patient's apical pulse rate is 44.


Question 3 of 5

The nurse concludes that this pulse rate is most likely a result of the:

Correct Answer: D

Rationale: Cardiac glycosides like digoxin can cause bradycardia, especially at a pulse of 44.

Extract:


Question 4 of 5

The nurse administered an intramuscular injection to an adult. How should the nurse dispose of the needle and syringe?

Correct Answer: A

Rationale: Immediately placing the needle and syringe in a sharps container prevents needlestick injuries. Recapping or separating risks exposure, and cutting is unsafe.

Question 5 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

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