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Questions 149

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Question 1 of 5

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

Correct Answer: A

Rationale: Unilateral neglect involves ignoring one side, such as shaving only one side of the face.

Question 2 of 5

The nurse is assessing a client who had a colon resection 2 days ago. The client states, 'I feel like my stitches have burst loose.' Upon further assessment, dehiscence of the wound is noted. The nurse should:

Correct Answer: B

Rationale: Dehiscence requires covering the wound with a sterile, saline-moistened dressing to prevent infection and protect exposed tissues. The other actions are inappropriate or harmful.

Question 3 of 5

A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?

Correct Answer: A

Rationale: Zyprexa, an antipsychotic, can cause extrapyramidal symptoms like Parkinsonism due to dopamine receptor blockade.

Question 4 of 5

On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?

Correct Answer: C

Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.

Question 5 of 5

The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:

Correct Answer: A

Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.

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