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Questions 149

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Extract:


Question 1 of 5

A community health nurse is teaching healthful lifestyles to a group of senior citizens. The nurse knows that the leading cause of death in persons 65 and older is:

Correct Answer: D

Rationale: Heart disease is the leading cause of death in adults over 65, driven by coronary artery disease and heart failure.

Question 2 of 5

On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?

Correct Answer: C

Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.

Question 3 of 5

A client who served three tours of duty in Afghanistan has been diagnosed with posttraumatic stress disorder (PTSD). Which of the following signs and symptoms does the nurse expect the client to exhibit? Select all that apply.

Correct Answer: A,B,C,E

Rationale: PTSD symptoms include recurring flashbacks (
A), detachment (
B), anger (
C), and nightmares (E). Hyperacute memory (
D) is not typical, and excessive sleeping (F) is less common than insomnia in PTSD.

Question 4 of 5

Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

Correct Answer: B

Rationale: Pregnant nurses should avoid caring for clients with radium implants due to the risk of radiation exposure to the fetus.

Question 5 of 5

Which observation would the nurse expect to make after an amniotomy?

Correct Answer: B

Rationale: Clear amniotic fluid is expected after an amniotomy, indicating no complications like meconium or bleeding.

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