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Questions 158

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Extract:


Question 1 of 5

A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:

Correct Answer: B

Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.

Question 2 of 5

The nurse is performing an assessment on a client with a history of a thyroidectomy. Which finding suggests the client is experiencing hypocalcemia?

Correct Answer: A

Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes muscle twitching or tetany from low calcium levels. Nausea, chest pain, and fever are less specific.

Question 3 of 5

The nurse is caring for a client with a diagnosis of placenta previa. Which symptom is most characteristic?

Correct Answer: A

Rationale: Placenta previa causes painless vaginal bleeding due to the placenta covering the cervix. Painful bleeding suggests abruptio placenta and fetal heart rate or fever are not specific to previa.

Question 4 of 5

The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

Correct Answer: B

Rationale: Exercise lowers blood sugar, so a snack may be needed to maintain appropriate glucose levels. The other options are incorrect as they increase the risk of hypoglycemia or are factually inaccurate.

Question 5 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective for hydrocephalus, directly assessing skull enlargement. Anorexia (
A), vomiting (
B), and temperature (
D) are subjective or less specific.

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