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Questions 158

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Question 1 of 5

A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:

Correct Answer: B

Rationale: A pneumothorax causes collapsed lung tissue, leading to decreased breath sounds, and rib fractures cause chest pain with movement.

Question 2 of 5

During the intake assessment,a client reports that she has a painful blister on the labia. The client's symptoms are likely the result of infection with:

Correct Answer: B

Rationale: Herpes simplex virus type II (HSV-II) typically causes painful blisters or vesicles on the genitalia such as the labia. Syphilis causes painless chancres gonorrhea causes discharge and condylomata (HPV-related warts) are usually painless.

Question 3 of 5

Assessment of a newborn for Apgar scoring includes observation for:

Correct Answer: C

Rationale: Heart rate is a critical component of Apgar scoring, assessed at 1 and 5 minutes to evaluate newborn vitality.

Question 4 of 5

A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should:

Correct Answer: D

Rationale: Radiation site markings must be preserved for accurate treatment. Soap, lotion, or other substances can remove markings, so they should be avoided. Covering or powdering is unnecessary.

Question 5 of 5

A client with a history of a thyroidectomy is being discharged. The nurse should teach the client to:

Correct Answer: A

Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes symptoms like tingling or tetany, requiring monitoring. Iodine foods, bedtime dosing, and fluid limits are not primary concerns.

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