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Questions 149

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Question 1 of 5

A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:

Correct Answer: B

Rationale: Passive-aggressive personality disorder is characterized by underlying hostility expressed indirectly through behaviors like procrastination, stubbornness, or intentional inefficiency.

Question 2 of 5

The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:

Correct Answer: A

Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.

Question 3 of 5

A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:

Correct Answer: B

Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.

Question 4 of 5

The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?

Correct Answer: C

Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.

Question 5 of 5

The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?

Correct Answer: D

Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.

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