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Extract:


Question 1 of 5

A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:

Correct Answer: D

Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.

Extract:

Which of the following symptoms listed below would indicate laryngeal nerve injury following thyroidectomy?


Question 2 of 5

Hoarseness.

Correct Answer: A

Rationale: Hoarseness is a sign of laryngeal nerve damage, which can occur during thyroid surgery.

Extract:

One of the following is not a symptom of the patient with right sided heart failure:


Question 3 of 5

Weight gain

Correct Answer: C

Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.

Extract:

The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:


Question 4 of 5

The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:

Correct Answer: C

Rationale: Obstructive jaundice causes dark urine, clay-colored stools, and itchy skin due to bilirubin buildup.

Extract:


Question 5 of 5

A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?

Correct Answer: B

Rationale: Pyelonephritis often ascends from untreated cystitis, a lower urinary tract infection. Pharyngitis, urolithiasis, or uric acid diet are not primary risk factors.

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