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Questions 149

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Question 1 of 5

A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

Correct Answer: A

Rationale: Currant jelly stools, caused by blood and mucus, are a hallmark of intussusception due to intestinal obstruction.

Question 2 of 5

The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely related to:

Correct Answer: B

Rationale: Hormonal changes, particularly estrogen loss post-menopause, are the primary cause of osteoporosis in women.

Question 3 of 5

An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?

Correct Answer: B

Rationale: Bright red urine with many clots indicates significant bleeding, a potential emergency post-transurethral prostatectomy, requiring immediate reporting.

Question 4 of 5

The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:

Correct Answer: A

Rationale: Setting realistic limits helps manage the manipulative and impulsive behaviors common in antisocial personality disorder, promoting safety and structure.

Question 5 of 5

A client taking the drug disulfiram (Antabuse) is admitted to the ER. Which clinical manifestations are most indicative of recent alcohol ingestion?

Correct Answer: A

Rationale: Disulfiram causes a severe reaction with alcohol, including vomiting, tachycardia (HR 120), and chest pain due to acetaldehyde accumulation, making these symptoms most indicative.

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