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Questions 227

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Extract:


Question 1 of 5

A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:

Correct Answer: B

Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.

Extract:

The client is taking Aminophylline.


Question 2 of 5

The nurse knows that the client is having problem if she observes that the client is:

Correct Answer: B

Rationale: Restlessness is a sign of aminophylline toxicity, indicating a need for intervention.

Extract:

Physical findings commonly seen in hypothyroidism include:


Question 3 of 5

Physical findings commonly seen in hypothyroidism include:

Correct Answer: A

Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.

Extract:


Question 4 of 5

An adult is being evaluated for a possible pituitary tumor. What test(s) does the nurse expect may be ordered for this client to confirm the diagnosis? Select all that apply.

Correct Answer: C,F

Rationale: MRI visualizes pituitary tumors, and visual field tests assess optic nerve compression from tumor growth. Urine, coagulation, x-rays, or nerve studies are less specific for diagnosis.

Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 5 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

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