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Question 1 of 5

A 62-year-old client with a 29-pack per year history is admitted with a diagnosis of the blood pressure. She reports having 'no appetite' and exhibits symptoms of anorexia. The client is 5 feet, 8 inches tall and weighs 112 lb. The client is now scheduled for a left lung lobectomy. Which of the following increases the client's risk of developing postoperative pulmonary complications?

Correct Answer: D

Rationale: Low body weight (112 lb for 5'8') indicates malnutrition, increasing the risk of postoperative pulmonary complications.

Question 2 of 5

Sulfadiazine has been ordered for a client who has a urinary tract infection. Which of the following recommend is most appropriate for administering sulfonamides?

Correct Answer: B

Rationale: Adequate hydration (8 glasses of water daily) prevents crystalluria, a complication of sulfonamides.

Question 3 of 5

A client with a history of chronic lymphocytic leukemia is admitted with fatigue and pallor. Which laboratory value should the nurse monitor?

Correct Answer: D

Rationale: Chronic lymphocytic leukemia can cause anemia (low hemoglobin), infection risk (abnormal WBCs), and bleeding risk (low platelets), requiring monitoring of all values.

Question 4 of 5

A client with antisocial personality disorder tells the nurse, 'I punched the guy out because he deserved it and then the cops arrested me.' Which of the following responses would be most helpful to the client?

Correct Answer: B

Rationale: Explaining consequences (legal trouble) helps the client understand the impact of their actions, aligning with therapeutic communication for antisocial personality disorder.

Question 5 of 5

A client with a diagnosis of bipolar disorder is prescribed lithium. The nurse should monitor the client for which of the following early signs of toxicity?

Correct Answer: A

Rationale: Tremors are an early sign of lithium toxicity, requiring prompt monitoring and potential dose adjustment.

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Select the types and stages of conflict that are accurately paired with their description. Select all that apply.
The nursing staff has safely and successfully secluded and restrained a client with acute mania who discussed the nurse and threw a chair against the wall in the community room. Which statement by the nurse is most helpful to the client at this time?
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Which lipid level would you report to the doctor because it is not normal and it is also a significant change in the client?

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