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Questions 149

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Extract:


Question 1 of 5

A client has been diagnosed with glossopharyngeal neuralgia. The nurse will expect the client to

Correct Answer: D

Rationale: Glossopharyngeal neuralgia causes severe pain in the throat, ears, tongue, and tonsils due to irritation of the ninth cranial nerve.

Question 2 of 5

A 32-year-old male client has just undergone a liver biopsy and is released to the post-op floor for observation. The nurse should have the client lie in what position?

Correct Answer: B

Rationale: Lying on the right side applies pressure to the liver biopsy site, reducing bleeding risk.

Question 3 of 5

Which nursing assessment indicates that involutional changes have occurred in a client who is 3 days postpartum?

Correct Answer: A

Rationale: A firm fundus 3 finger widths below the umbilicus by day 3 postpartum indicates normal uterine involution, as the uterus shrinks progressively after delivery.

Question 4 of 5

Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

Correct Answer: B

Rationale: Thrombocytopenia in acute leukemia increases the risk of bleeding, making 'risk for injury' the priority diagnosis to ensure patient safety.

Question 5 of 5

The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan?

Correct Answer: D

Rationale: Polycythemia vera increases blood viscosity, raising thrombosis risk. Teaching clients to recognize thrombosis symptoms (e.g., swelling, pain) is critical for early intervention.

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