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Questions 176

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Question 1 of 5

A new client is admitted with a major abscess on her thigh caused by scratching mosquito bites with dirty hands after digging in her garden. She is on isolation precautions in a private room after surgical debridement. The physician changes her dressings daily. What should the nurse wear when providing care for this client?

Correct Answer: C

Rationale: Gloves and gown are required for contact precautions due to the abscess, preventing transmission of infection.

Question 2 of 5

Which of the following behaviors is characteristic of the client with schizoid personality disorder?

Correct Answer: C

Rationale: Social detachment is a key characteristic of schizoid personality disorder, with individuals preferring solitude and showing little interest in relationships.

Question 3 of 5

The nurse is caring for a hospitalized client. Which is the best example of narrative documentation to provide legal malpractice protection for the nurse after an adverse event?

Correct Answer: C

Rationale: Detailed, objective documentation (
C) with times, actions, and follow-up plans provides the best legal protection. Options A, B, and D include assumptions, vague details, or irrelevant information.

Question 4 of 5

The nurse is collecting data from a client during the first routine prenatal examination. According to the last menstrual period, the estimated gestational age is 12 weeks. The nurse would expect to palpate the uterine fundus

Correct Answer: D

Rationale: At 12 weeks, the uterine fundus is just above the symphysis pubis (
D). It reaches the umbilicus at 20 weeks and higher levels later in pregnancy.

Question 5 of 5

The nurse is assisting the physician with an examination of a client with Addison's disease. During the examination, the nurse will note which change in the client's integumentary system?

Correct Answer: C

Rationale: Addison's disease causes bronze pigmentation due to increased ACTH. Edema , hirsutism , and pendulous abdomen are not typical.

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