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Questions 149

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Question 1 of 5

A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:

Correct Answer: D

Rationale: Morphine sulfate is the most effective for severe, acute pain due to its strong opioid properties.

Question 2 of 5

A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse's response is based on the knowledge that:

Correct Answer: B

Rationale: Pregnancy increases thyroid gland size, often requiring adjusted thyroid medication doses.

Question 3 of 5

The nurse is assessing the heart sounds of a client with mitral stenosis following a history of rheumatic fever. To hear a mitral murmur, the nurse should place the stethoscope at:

Correct Answer: D

Rationale: Mitral stenosis murmurs are best heard at the fourth intercostal space midclavicular line, the mitral valve area.

Question 4 of 5

An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:

Correct Answer: C

Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.

Question 5 of 5

The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.

Correct Answer: A,C

Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.

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