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Questions 227

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Extract:


Question 1 of 5

A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:

Correct Answer: D

Rationale: Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality.

Extract:

The nurse is teaching a client and family about phenelzine (Nardil).


Question 2 of 5

Which of the following foods would the nurse urge the client to avoid?

Correct Answer: C

Rationale: Cheese is one of the foods that may cause a hypertensive crisis when taken with Nardil, a monoamine oxidase inhibitor (MAOI).

Extract:


Question 3 of 5

A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?

Correct Answer: D

Rationale: All listed actions—adequate sleep, self-breast exams, and stress reduction—contribute to cancer prevention by supporting immune function, early detection, and overall health. Health Promotion and Management

Extract:

When teaching a mother about communicable diseases


Question 4 of 5

When teaching a mother about communicable diseases, the nurse informs her that chickenpox is:

Correct Answer: A

Rationale: Chickenpox is communicable until all vesicles have crusted over.

Extract:


Question 5 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

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