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Question 1 of 5

A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.

Question 2 of 5

The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?

Correct Answer: C

Rationale: A. Varicoceles are not inherited. B. A varicocele does occur most frequently on the left side due to retrograde blood flow from the renal vein; however, a varicocele rarely produces symptoms. C. Asking about children is important because the most common cause of male infertility is a varicocele. Approximately 15% to 20% of the healthy, fertile male population is estimated to have varicoceles. However, 40% of infertile men may have them. D. A varicocele rarely produces any symptoms. It is usually diagnosed during physical examinations related to infertility. If symptoms do occur, pain and groin tenderness are the most common symptoms.

Question 3 of 5

When planning care for a client in sickle cell crisis, what is the main nursing priority?

Correct Answer: C

Rationale: Sickle cell crisis causes severe pain due to vaso-occlusion. Relieving discomfort through pain management is the primary nursing priority.

Question 4 of 5

A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?

Correct Answer: A

Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.

Question 5 of 5

The nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative?

Correct Answer: A

Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema due to fluid in the alveoli.

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