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Questions 149

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Extract:


Question 1 of 5

A 40-year-old male client has been diagnosed with Huntington disease and his spouse asks the nurse if their 3-year-old son should be tested to determine if the son inherited the genetic disorder. Which of the following is the most appropriate response?

Correct Answer: B

Rationale: Referring to a genetic counselor (
B) ensures informed decision-making about testing a child for Huntington's. Other responses (A, C,
D) are directive or dismissive.

Question 2 of 5

The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?

Correct Answer: B

Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.

Question 3 of 5

The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?

Correct Answer: D

Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.

Question 4 of 5

The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?

Correct Answer: C

Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.

Question 5 of 5

The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?

Correct Answer: C

Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.

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