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Questions 149

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Question 1 of 5

A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client's risk for suicide?

Correct Answer: A

Rationale: Directly asking about suicidal thoughts or plans is the most effective way to assess suicide risk, as it encourages open communication and identifies intent.

Question 2 of 5

A client taking furosemide (Lasix) comes into the clinic for routine bloodwork. Which of the following findings indicates an adverse effect of Lasix?

Correct Answer: C

Rationale: Furosemide can increase uric acid levels (normal 3.5-7.2 mg/dL), leading to hyperuricemia, a known adverse effect. Other values are within normal ranges.

Question 3 of 5

The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn't show up in the nursery. The nurse's response is based on the knowledge that:

Correct Answer: D

Rationale: Fetal hemoglobin, present in newborns, inhibits sickling, masking sickle cell anemia symptoms until fetal hemoglobin decreases after several months.

Question 4 of 5

A client with rheumatoid arthritis has Sjogren's syndrome. The nurse can help relieve the symptoms of Sjogren's syndrome by:

Correct Answer: B

Rationale: Sjogren's syndrome causes dry eyes, and artificial tears (eyedrops) help relieve this symptom.

Question 5 of 5

A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?

Correct Answer: D

Rationale: Cor pulmonale, right heart failure from lung disease, causes edema of the lower extremities and distended neck veins due to increased venous pressure.

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