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Questions 148

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Question 1 of 5

A burn client's care plan reveals an expected outcome of no localized or systemic infection. Which assessment by the nurse supports this outcome?

Correct Answer: A

Rationale: Minimal bacteria in wound cultures supports the absence of localized infection, aligning with the care plan's goal.

Question 2 of 5

The nurse is caring for a client with suspected endometrial cancer. Which symptom is associated with endometrial cancer?

Correct Answer: D

Rationale: Endometrial cancer often presents with abnormal uterine bleeding, which may manifest as watery or blood-tinged vaginal discharge. Frothy, thick white, or purulent discharges are more indicative of infections or other gynecologic conditions.

Question 3 of 5

The nurse is assessing a client with suspected pneumothorax. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: decreased breath sounds on the affected side are a hallmark of pneumothorax due to lung collapse

Question 4 of 5

The nurse is evaluating nutritional outcomes for a client with anorexia nervosa. Which one of the following is the most objective favorable outcome for the client?

Correct Answer: C

Rationale: Weight gain is the most objective and measurable outcome for anorexia nervosa, indicating improved nutritional status and progress toward recovery.

Question 5 of 5

A 68-year-old client states he decided not to take the herpes zoster (shingles) immunization because his friend had the immunization and still developed shingles. Which of the following information should the nurse include when discussing this issue with the client? Select all that apply.

Correct Answer: B,C,D

Rationale: The shingles vaccine reduces severity (
B), postherpetic syndrome risk (
C), and shingles incidence by about 50% (
D). It doesn't eliminate risk (
A), and dismissing friends' advice (E) is inappropriate.

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