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Questions 158

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Extract:


Question 1 of 5

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

Correct Answer: B

Rationale: Auditory hallucinations involve sensory perceptions of hearing. Gustatory hallucinations involve sensory perceptions of taste. Olfactory hallucinations involve sensory perceptions of smell. Visceral hallucinations involve sensory perceptions of sensation.

Question 2 of 5

A client with a history of a hiatal hernia is being discharged. The nurse should teach the client to:

Correct Answer: A

Rationale: Heavy lifting increases abdominal pressure, worsening hiatal hernia symptoms. Small meals, sleeping upright, and avoiding spicy foods are also recommended.

Question 3 of 5

A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?

Correct Answer: A

Rationale: These are tetanic in nature and can cause rupture of the uterus. The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. Beat-to-beat variability is a normal finding and demonstrates fetal well-being. The FHR may decrease at the beginning of a contraction owing to head compression.

Question 4 of 5

A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Artificial sweeteners like aspartame contain phenylalanine, which is harmful in PKU. A low-phenylalanine diet, healthy snacks, and preventing mental retardation are correct understandings.

Question 5 of 5

A client with a history of breast cancer is admitted with complaints of lymphedema. The nurse should give priority to:

Correct Answer: A

Rationale: Compression therapy reduces swelling in lymphedema post-breast cancer, improving comfort and function.

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