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Questions 163

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Question 1 of 5

A client comes to the emergency department for the second time with shortness of breath and substernal pressure that radiates to the jaw. The nurse understands that angina pectoris may be precipitated by which of these factors? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Angina can be triggered by amphetamines increasing cardiac demand, smoking causing vasoconstriction, cold exposure inducing vasospasm, and sexual intercourse raising heart rate. Deep sleep typically reduces demand.

Question 2 of 5

The nurse is collecting data on a client who has arrived at the clinic for pregnancy confirmation and prenatal evaluation. Which of the following findings indicate diagnostic evidence (positive signs) of pregnancy? Select all that apply.

Correct Answer: B,E

Rationale: Positive signs of pregnancy are objective, provider-verified findings: fetal heart tones by Doppler and ultrasound visualization . Cervical softening and hCG test are probable signs, and fetal movement is subjective.

Question 3 of 5

When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?

Correct Answer: A

Rationale: It has no clear etiology. Enuresis has multiple contributing factors, but no single definitive cause has been established.

Question 4 of 5

The drug of choice for managing status epilepticus is:

Correct Answer: B

Rationale: Diazepam is the first-line treatment for status epilepticus due to its rapid onset in stopping seizures.

Question 5 of 5

The nurse is reinforcing information to a diabetic client with a new prescription for metoclopramide. Which of the following side effects must the nurse remind the client to report immediately to the health care provider? Select all that apply.

Correct Answer: A,D,E

Rationale: Metoclopramide can cause tardive dyskinesia, with symptoms like excess blinking , lip smacking , and cheek puffing , requiring immediate reporting. Dry mouth and headache are common and less urgent.

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