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Questions 148

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Extract:


Question 1 of 5

A home health nurse has several elderly clients in her case load. Which of the following clients is most likely to be a victim of elder abuse?

Correct Answer: A

Rationale: Clients with Alzheimer's disease are at higher risk for elder abuse due to cognitive impairment, dependency, and potential behavioral challenges, which can strain caregivers.

Question 2 of 5

A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?

Correct Answer: D

Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).

Question 3 of 5

A client is admitted to the chemical dependency unit for poly-drug abuse. The client states, 'I don't know why you are all so worried; I am in control. I don't have a problem.' Which defense mechanism is being utilized?

Correct Answer: D

Rationale: Denial is the defense mechanism where the client refuses to acknowledge the reality of their substance abuse problem, minimizing its severity.

Question 4 of 5

The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:

Correct Answer: D

Rationale: Stage III Alzheimer's is characterized by severe cognitive decline, including inability to communicate effectively, often limited to simple phrases or gestures.

Question 5 of 5

A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:

Correct Answer: A

Rationale: Acute adrenal crisis causes low blood pressure due to insufficient cortisol and aldosterone, leading to hypovolemia and shock.

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