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Question 1 of 5

A 37-year-old postpartum client explains to the nurse she had a deep vein thrombosis (DVT) after the birth of her last child. To help prevent a DVT during this hospital stay, the nurse should encourage the client to do all of the following EXCEPT

Correct Answer: C

Rationale: Ambulation promotes circulation and prevents DVT. Limiting ambulation increases risk. Stockings, hydration, and leg elevation reduce DVT risk.

Question 2 of 5

A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order

Correct Answer: B

Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.

Question 3 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

Question 4 of 5

A 60-year-old client has undergone a nerve-sparing prostatectomy and has been advised by his physician that he may not recover normal sexual functioning. The client is very concerned about this and asks the nurse for more information. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Post-prostatectomy, retrograde ejaculation (
A), variable recovery time (
B), avoiding intercourse for 1 month (
D), and anxiety's impact (E) are relevant. Recovery within a month (
C) is incorrect, and prioritizing other intimacy (F) is subjective.

Question 5 of 5

A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.

Correct Answer: A, C, D, E

Rationale: Soft toothbrushing, avoiding bending, not blowing the nose, and mouth breathing due to nasal packing are correct post-hypophysectomy instructions. The nasal pad should not be removed the next morning without orders.

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