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Question 1 of 5

A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:

Correct Answer: A

Rationale: Acute adrenal crisis causes low blood pressure due to insufficient cortisol and aldosterone, leading to hypovolemia and shock.

Question 2 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client with a thyroidectomy 4 days ago is stable and suitable for routine care by a nursing assistant.

Question 3 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.

Question 4 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

Question 5 of 5

The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?

Correct Answer: C

Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.

Similar Questions

An elderly client with moderate Alzheimer's disease lives with her daughter and appears dirty and disheveled and has lost five pounds over the previous month. Which of the following does the nurse suspect?
A 43-year-old client has developed progressive frontotemporal dementia and is exhibiting inappropriate and compulsive behaviors, difficulty with language, and impaired judgment. Which statement by the client's wife suggests that she has not accepted a permanent role change in their relationship?
A client with a history of depression is treated with Parnate (tranylcypromine), an MAO inhibitor. Ingestion of foods containing tyramine while taking an MAO inhibitor can result in:
The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?
The nurse is precepting a student nurse in the ICU. Which statement regarding student nurses is correct? Select all that apply.

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