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Questions 149

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Question 1 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile infection causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated colonic inflammation.

Question 2 of 5

The home health nurse is scheduled to visit four clients. Which client should she visit first?

Correct Answer: A

Rationale: The AIDS client with fever and cough may have an acute infection like pneumonia, requiring urgent assessment.

Question 3 of 5

A nurse is teaching a group of teenagers the correct technique for applying a condom. Which point would the nurse include in the teaching plan?

Correct Answer: B

Rationale: The condom should be unrolled completely over the erect penis to ensure proper fit and protection. Condoms are single-use, petroleum jelly damages latex, and water isn't used.

Question 4 of 5

A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?

Correct Answer: D

Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.

Question 5 of 5

The home health nurse is planning for the day's visits. Which client should be seen first?

Correct Answer: C

Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.

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