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Questions 149

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Question 1 of 5

A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?

Correct Answer: D

Rationale: may be confused and stuporous

Question 2 of 5

The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?

Correct Answer: C

Rationale: A detailed suicide plan indicates high risk. Assigning a sitter despite refusal ensures safety, as patient consent is secondary to preventing harm.

Question 3 of 5

Which task is included in the working phase of the nurse-client relationship?

Correct Answer: C

Rationale: The working phase involves evaluating progress toward goals, building on strengths identified earlier.

Question 4 of 5

A client with tuberculosis who has been on combined therapy with rifampin and isoniazid asks the nurse how long he will have to take medication. The nurse should tell the client that:

Correct Answer: C

Rationale: Standard treatment for active tuberculosis involves 6 months of combined therapy with rifampin and isoniazid to ensure complete eradication.

Question 5 of 5

The physician orders the removal of an in-dwelling catheter the second postoperative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:

Correct Answer: D

Rationale: Pain and dribbling post-catheter removal are common due to bladder irritation and will typically improve within days.

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