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Extract:


Question 1 of 5

A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse's best response is:

Correct Answer: A

Rationale: No safe level of alcohol consumption during pregnancy is established due to risks like fetal alcohol syndrome. The other responses provide incorrect or misleading information. Psychosocial Integrity

Question 2 of 5

The nurse is caring for a client who underwent a mastectomy 24 hours ago. Which of the following interventions should the nurse prioritize?

Correct Answer: A

Rationale: Encouraging arm exercises prevents lymphedema and restores mobility post-mastectomy. Dependent positioning (
B) increases edema, heating pads (
C) risk tissue damage, and fluid restriction (
D) is unnecessary and harmful.

Extract:

An elderly patient in the long-term facility expresses feeling lonely especially during the day.


Question 3 of 5

The staff nurse who is assigned to the patient will appropriately do which of the following?

Correct Answer: C

Rationale: Group activities foster social interaction, reducing loneliness.

Extract:

Illusion:


Question 4 of 5

Illusion:

Correct Answer: A

Rationale: An illusion is a misperception of a real stimulus, unlike a hallucination.

Extract:


Question 5 of 5

The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.

Correct Answer: A,C

Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.

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