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Questions 158

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Extract:


Question 1 of 5

A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this 'psych stuff.' When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:

Correct Answer: D

Rationale: Repressed anger is associated with psychophysiological disorders like a bleeding ulcer, as stress and unexpressed emotions contribute to physical symptoms.

Question 2 of 5

The client is admitted with a diagnosis of abruptio placenta. Which vital sign change is most likely to be observed?

Correct Answer: D

Rationale: Abruptio placenta causes maternal tachycardia and hypotension (from bleeding) and fetal bradycardia (from hypoxia). All vital sign changes are likely in this condition.

Question 3 of 5

A first-trimester primigravida is diagnosed with anemia. The nurse should suspect that this anemia is a result of:

Correct Answer: A

Rationale: Increased maternal blood volume in the first trimester causes dilutional anemia due to a relative decrease in red blood cell concentration.

Question 4 of 5

A client with a history of pancreatitis is admitted with complaints of nausea. The nurse should give priority to:

Correct Answer: A

Rationale: Antiemetics relieve nausea in pancreatitis, improving comfort and preventing dehydration.

Question 5 of 5

A client has a history of alcoholism. He is currently diagnosed with cirrhosis of the liver. The nurse would expect him to be on which type of diet?

Correct Answer: B

Rationale: High carbohydrates provide high-caloric content to prevent tissue catabolism.

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