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Questions 158

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Question 1 of 5

A successful executive left her job and became a housewife after her marriage to a plastic surgeon. She started doing volunteer work for a charity organization. She developed pain in her legs that advanced to the point of paralysis. Her physicians can find no organic basis for the paralysis. The client's behavior can be described as:

Correct Answer: C

Rationale: A conversion reaction is a physical expression of an emotional conflict with no organic basis, such as paralysis in this case.

Question 2 of 5

Which of the following describes a positive Kernig's sign?

Correct Answer: A

Rationale: A positive Kernig’s sign is pain or resistance when flexing the hip and extending the knee often indicating meningeal irritation (e.g. meningitis). The other options describe different symptoms or signs unrelated to Kernig’s.

Question 3 of 5

A client with a history of endometrial cancer is admitted with complaints of vaginal bleeding. The nurse should give priority to:

Correct Answer: A

Rationale: Vaginal bleeding in endometrial cancer may indicate recurrence, so monitoring for recurrence is the priority.

Question 4 of 5

A client is a depressed, 48-year-old salesman. A serious concern for the nurse working with depressed clients is the potential of suicide. The time that suicide is most likely to occur is:

Correct Answer: B

Rationale: When the depression starts to lift, the client is able to make a workable plan, increasing the risk of suicide.

Question 5 of 5

While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother's perineum. Which one of the following interventions should the RN initiate at this time?

Correct Answer: C

Rationale: Warm sitz baths increase circulation, promote healing, and reduce edema in a traumatized perineum, making it appropriate for an ecchymotic area.

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