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Questions 158

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Question 1 of 5

A client with a history of a stroke is being discharged. The client’s wife asks the nurse how long it will take for her husband to regain his speech. The nurse’s response is based on the knowledge that:

Correct Answer: B

Rationale: Most speech recovery post-stroke occurs within the first 6 months, though progress can continue with therapy. Recovery varies, but 6 months is a key period for significant improvement.

Question 2 of 5

Which guidelines would hamper staff learning and compliance?

Question Image

Correct Answer: E, F, G

Rationale: Providing all information in one session (E) can overwhelm staff, reducing retention. Stating changes are mandated (F) may foster resentment, decreasing compliance. Sending a memo about errors (G) may seem punitive, discouraging engagement. In contrast, scientific information (
A), clarification (
B), acknowledging resistance (
C), and diagrams (
D) promote understanding and acceptance.

Question 3 of 5

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

Correct Answer: B

Rationale: Mafenide acetate can cause metabolic acidosis, leading to compensatory hyperventilation. The other medications listed do not typically cause this reaction.

Question 4 of 5

A client with a history of a pituitary tumor is receiving Bromocriptine (Parlodel). The nurse should monitor the client for:

Correct Answer: A

Rationale: Bromocriptine, a dopamine agonist, can cause hypotension due to vasodilation. Hyperglycemia, weight gain, and hair loss are not primary side effects.

Question 5 of 5

The nurse is evaluating the client's pulmonary artery pressure (PAP). The nurse is aware that PAP evaluates:

Correct Answer: B

Rationale: Pulmonary artery pressure (PAP), measured via a pulmonary artery catheter, reflects systolic, diastolic, and mean pressures in the pulmonary artery, indicating right ventricular function and pulmonary circulation status.

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