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Questions 158

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Question 1 of 5

A client is a depressed, 48-year-old salesman. A serious concern for the nurse working with depressed clients is the potential of suicide. The time that suicide is most likely to occur is:

Correct Answer: B

Rationale: When the depression starts to lift, the client is able to make a workable plan, increasing the risk of suicide.

Question 2 of 5

A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:

Correct Answer: C

Rationale: Pulmozyme, used to thin mucus in cystic fibrosis, can cause sore throat as a side effect due to inhalation irritation. Weight gain, hair loss, and brittle nails are not associated.

Question 3 of 5

In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?

Correct Answer: C

Rationale: Ulcerative colitis causes diarrhea, leading to significant fluid and electrolyte loss, making fluid volume deficit a priority nursing diagnosis to prevent dehydration and shock. Anxiety, skin integrity, and nutrition are secondary concerns.

Question 4 of 5

Which of the following activities have been associated with an increase in lead exposure?

Question Image

Correct Answer: A, C, D, F

Rationale: Lead exposure risks include stained glass work (
A), restoring old toys (
C), decorative mugs (
D), and pre-1950 homes (F) due to lead-based paint or glazes. Disposable bottles (
B) and non-stick cookware (E) are not significant sources.

Question 5 of 5

A client with a history of endometrial cancer is admitted with complaints of vaginal bleeding. The nurse should give priority to:

Correct Answer: A

Rationale: Vaginal bleeding in endometrial cancer may indicate recurrence, so monitoring for recurrence is the priority.

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