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Question 1 of 5

A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:

Correct Answer: A

Rationale: This answer is correct. Persons with antisocial personality disorder typically are very manipulative. This answer is incorrect. The client's behavior cannot cause another person to become psychotic. This answer is incorrect. Psychosis is not a symptom of antisocial personality. One of the criteria for diagnosis of this disorder is that no psychosis be present. In addition, the client would love the attention. This answer is incorrect. Self-mutilative behavior is characteristic of the borderline personality disorder.

Question 2 of 5

Proper positioning for the child who is in Bryant's traction is:

Correct Answer: A

Rationale: The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. The child in Buck's extension traction maintains the legs extended and parallel to the bed. The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. The child in '90-90' traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.

Question 3 of 5

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

Correct Answer: A

Rationale: Universal precautions are critical due to the bloodborne nature of hepatitis C. The other options are not appropriate for hepatitis C care.

Question 4 of 5

The client is admitted with a diagnosis of acute diverticulitis. Which dietary order should the nurse anticipate?

Correct Answer: C

Rationale: A clear liquid diet is ordered during acute diverticulitis to rest the bowel and reduce irritation. High-fiber is for prevention, low-residue is for chronic management, and regular diets are inappropriate.

Question 5 of 5

A client has viral encephalitis and has been prescribed IV acyclovir (Zovirax). What nursing interventions should be used when administering the drug?

Question Image

Correct Answer: A, B, C, E

Rationale: Acyclovir requires slow infusion (
A) to prevent phlebitis, adequate hydration (
B) to reduce nephrotoxicity, monitoring for neurotoxicity (
C), and caution in renal insufficiency (E). Heart rate (
D) is unrelated.

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