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Questions 158

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Extract:


Question 1 of 5

A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who reported bizarre behavior. Except for going to work, she spends all her time in her room and expresses concern over neighbors spying on her. She has fears of the telephone being 'bugged.' Her diagnosis is schizophrenia. One nurse per shift is assigned to work with the client. The primary reason for this plan would be to:

Correct Answer: B

Rationale: The client is suspicious and needs help to develop trust, which is basic to her improvement. Consistent nursing assignment fosters a therapeutic relationship.

Question 2 of 5

Which nursing implication is appropriate for a client undergoing a paracentesis?

Correct Answer: A

Rationale: A full bladder impedes ascitic fluid withdrawal during paracentesis, so the client should void beforehand.

Question 3 of 5

The nurse is caring for a client with a history of psoriasis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Psoriasis causes scaly, silvery plaques due to rapid skin cell turnover, a hallmark symptom.

Question 4 of 5

The nurse is caring for a client with a diagnosis of gestational hypertension. Which intervention is most appropriate?

Correct Answer: D

Rationale: Gestational hypertension requires blood pressure monitoring to assess severity antihypertensives for severe hypertension and fetal heart tone monitoring to ensure fetal well-being. All interventions are appropriate.

Question 5 of 5

Which aminophylline level is associated with signs of toxicity?

Correct Answer: D

Rationale: Aminophylline levels above 20 micrograms/mL are toxic, causing symptoms like nausea, tachycardia, or seizures. 25 micrograms/mL is well above the therapeutic range (10-20).

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