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Questions 148

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Question 1 of 5

All of the following are examples of secondary disease prevention EXCEPT

Correct Answer: A

Rationale: Secondary prevention detects/treats disease early (mammograms, syphilis testing, exercise post-MI). Support groups (
A) are tertiary, aiding coping with existing disease.

Question 2 of 5

Which of the following findings is associated with right-sided heart failure?

Correct Answer: B

Rationale: Nocturnal polyuria is a classic sign of right-sided heart failure due to fluid redistribution when lying down.

Question 3 of 5

After several hospitalizations for respiratory ailments, a 6-month-old has been diagnosed as having HIV. The infant's respiratory ailments were most likely due to:

Correct Answer: A

Rationale: Pneumocystis carinii (now Pneumocystis jirovecii) is a common cause of pneumonia in HIV-infected infants.

Question 4 of 5

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

Correct Answer: D

Rationale: Quinidine can prolong the QT interval, increasing the risk of torsades de pointes.

Question 5 of 5

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Correct Answer: D

Rationale: A bus trip to a museum is a low-exertion activity at sea level, minimizing the risk of hypoxia compared to high-altitude or strenuous activities.

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