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Questions 158

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Question 1 of 5

A patient is diagnosed with secondary syphilis. The nurse can expect the patient to have:

Correct Answer: A

Rationale: Secondary syphilis presents with a maculopapular rash, often on the palms and soles, described as ‘copper penny’ lesions. Chancres occur in primary syphilis, tumors (gummas) in tertiary syphilis, and general paresis is a late neurosyphilis complication.

Question 2 of 5

In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?

Correct Answer: C

Rationale: Ulcerative colitis causes diarrhea, leading to significant fluid and electrolyte loss, making fluid volume deficit a priority nursing diagnosis to prevent dehydration and shock. Anxiety, skin integrity, and nutrition are secondary concerns.

Question 3 of 5

The nurse is caring for a client with a history of a total knee replacement. The client complains of pain and swelling. The nurse should:

Correct Answer: A

Rationale: Ice reduces pain and swelling post-total knee replacement by decreasing inflammation. Elevation is helpful, aspirin requires an order, and notification is needed if symptoms persist.

Question 4 of 5

Which of the following activities have been associated with an increase in lead exposure?

Question Image

Correct Answer: A, C, D, F

Rationale: Lead exposure risks include stained glass work (
A), restoring old toys (
C), decorative mugs (
D), and pre-1950 homes (F) due to lead-based paint or glazes. Disposable bottles (
B) and non-stick cookware (E) are not significant sources.

Question 5 of 5

The nurse in the emergency room is caring for a client with multiple rib fractures and a pulmonary contusion. Assessment reveals a respiratory rate of 38, a heart rate of 136, and restlessness. Which associated assessment finding would require immediate intervention?

Correct Answer: C

Rationale: Subcutaneous air and absent breath sounds suggest pneumothorax, requiring immediate intervention (e.g., chest tube). Hemoptysis (
A), wheezing (
B), and pain/rales (
D) are concerning but less urgent.

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