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Questions 149

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Question 1 of 5

A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?

Correct Answer: C

Rationale: Increased anxiety and symptoms are common early in psychotherapy as clients confront underlying issues, an expected response.

Question 2 of 5

The medical resident admits the 4-year-old with complications related to chicken pox. Which prescribed medication is most important for the nurse to question?

Correct Answer: D

Rationale: Acetylsalicylic acid (aspirin) is contraindicated in children with viral infections like chickenpox due to the risk of Reye's syndrome, a rare but serious condition affecting the liver and brain.

Question 3 of 5

A man who is severely depressed following the death of his wife sits in the dayroom for hours at a time, not speaking to anyone and showing no interest in unit activities. He does not answer when spoken to. Which action should the nurse take to help him at this time?

Correct Answer: D

Rationale: Brief, non-demanding interactions show presence and support, respecting his depression without forcing engagement.

Question 4 of 5

The school nurse is reviewing the immunization record of the 8-year-old incoming student. Which finding warrants further follow-up by the nurse?

Correct Answer: B

Rationale: Hepatitis B requires 3 doses for full immunization, so 2 doses warrant follow-up.

Question 5 of 5

Which instruction is appropriate for the nurse to give the client who is undergoing external radiation therapy?

Correct Answer: C

Rationale: Avoiding powders, deodorants, or ointments prevents skin irritation in the radiation area, protecting the skin during therapy.

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