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Questions 149

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Question 1 of 5

A client is admitted with disseminated herpes zoster. According to the Centers for Disease Control Guidelines for Infection Control:

Correct Answer: A

Rationale: Disseminated herpes zoster requires airborne precautions due to the risk of varicella-zoster virus transmission through respiratory droplets and contact.

Question 2 of 5

Which cephalic presentation is most common during delivery of a neonate?

Correct Answer: A

Rationale: Vertex presentation (
A), with the head flexed and occiput leading, is the most common (95%) during delivery.

Question 3 of 5

The nurse is assessing a client with an altered level of consciousness. One of the first signs of altered level of consciousness is:

Correct Answer: C

Rationale: Restlessness is often an early sign of altered consciousness, indicating neurological changes before more severe symptoms appear.

Question 4 of 5

A client with prostate cancer has been given the option of various treatments and asks the nurse for advice. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Discussing options and feelings (
A) supports the client's decision-making without giving direct advice. Other responses (B, C,
D) dismiss the client's request or overstep the nurse's role.

Question 5 of 5

A client has a tentative diagnosis of myasthenia gravis. The nurse recognizes that myasthenia gravis involves:

Correct Answer: B

Rationale: Myasthenia gravis is an autoimmune disorder causing impaired nerve-to-muscle communication, leading to muscle weakness, particularly in voluntary muscles.

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