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Questions 149

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Extract:


Question 1 of 5

A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?

Correct Answer: A

Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.

Question 2 of 5

The nurse is monitoring a client following postoperative cardiac catheterization and is checking the client's oxygen saturation (SPO2) per pulse oximetry. The nurse recognizes that the SPO2 should be maintained above what percentage in most clients to ensure adequate oxygenation? Record your answer using a whole number.

Correct Answer: 92

Rationale: SPO2 should be maintained above 92% in most clients to ensure adequate oxygenation, especially post-procedure.

Question 3 of 5

A client with paranoid schizophrenia is brought to the hospital by her elderly parents. During the assessment, the client's mother states, 'Sometimes she is more than we can manage.' Based on the mother's statement, the most appropriate nursing diagnosis is:

Correct Answer: B

Rationale: The mother's statement suggests caregiver role strain due to the ongoing stress of managing the client's schizophrenia symptoms.

Question 4 of 5

A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?

Correct Answer: A

Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.

Question 5 of 5

A community health nurse is teaching healthful lifestyles to a group of senior citizens. The nurse knows that the leading cause of death in persons 65 and older is:

Correct Answer: D

Rationale: Heart disease is the leading cause of death in adults over 65, driven by coronary artery disease and heart failure.

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