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Questions 148

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Extract:


Question 1 of 5

A client is admitted to the chemical dependency unit for poly-drug abuse. The client states, 'I don't know why you are all so worried; I am in control. I don't have a problem.' Which defense mechanism is being utilized?

Correct Answer: D

Rationale: Denial is the defense mechanism where the client refuses to acknowledge the reality of their substance abuse problem, minimizing its severity.

Question 2 of 5

A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:

Correct Answer: C

Rationale: Buck's traction is used to immobilize a fractured femur, reduce pain, and prevent further injury until surgical intervention.

Question 3 of 5

Raynaud's disease is most commonly found in

Correct Answer: D

Rationale: Raynaud’s disease is most common in young women (ages 15-40) due to hormonal and vascular factors.

Question 4 of 5

A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

Correct Answer: B

Rationale: A history of streptococcal infections may increase the risk of allergic reactions to streptokinase, a thrombolytic derived from streptococci.

Question 5 of 5

The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:

Correct Answer: D

Rationale: Stage III Alzheimer's is characterized by severe cognitive decline, including inability to communicate effectively, often limited to simple phrases or gestures.

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