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Question 1 of 5

After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:

Correct Answer: A

Rationale: Undercooked hamburger is a common source of E. coli, particularly E. coli O157:H7, which can contaminate ground beef.

Question 2 of 5

A client with a history of peptic ulcer disease is admitted with complaints of hematemesis. The nurse should give priority to:

Correct Answer: B

Rationale: Hematemesis indicates possible gastrointestinal bleeding, so monitoring vital signs is critical to assess for hypovolemia and shock.

Question 3 of 5

As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

Correct Answer: C

Rationale: An enlarged penis is not a sign of chlamydia. Secondary lymphadenitis is a complication of lymphogranuloma venereum. Untreated chlamydial infection can spread from the urethra, causing epididymitis, which presents as a tender, scrotal swelling. Hepatomegaly is not a complication.

Question 4 of 5

A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:

Correct Answer: B

Rationale: A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage.

Question 5 of 5

The nurse is caring for a client diagnosed with metastatic cancer of the bone. The client is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?

Correct Answer: B

Rationale: Hypercalcemia (calcium 13 mg/dL) is a common complication of bone metastases, causing confusion and hypertension. Hyperkalemia (
A), low phosphorus (
C), and normal sodium (
D) are less likely causes.

Similar Questions

The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?
The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
A client tells the nurse that she has a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?
A client with a history of a stroke is being taught to use a communication board. The nurse should:

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