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Questions 164

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Question 1 of 5

All of the following clients are on the unit. Which one is most likely to develop urinary retention?

Correct Answer: C

Rationale: Abdominal hysterectomy involves pelvic manipulation, increasing urinary retention risk due to bladder trauma or nerve disruption. Other surgeries pose lower risk.

Question 2 of 5

The nurse is reviewing discharge instructions on home management for a client with peripheral arterial disease. Which statements indicate a correct understanding of the instructions? Select all that apply.

Correct Answer: A,C,D

Rationale: Moisturizing , keeping legs dependent , and walking improve skin and circulation. Elevation is for venous issues, and heating pads risk burns.

Question 3 of 5

When caring for a client with advanced cirrhosis of the liver, which nursing diagnosis should take priority?

Correct Answer: A

Rationale: Risk for injury: hemorrhage. Liver disease interferes with the production of prothrombin and other factors essential for blood clotting. Hemorrhage, especially from esophageal varices, can be life-threatening.

Question 4 of 5

The clinic nurse is reinforcing teaching to a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed?

Correct Answer: D

Rationale: Antacids reduce levothyroxine absorption, requiring further teaching. Blood monitoring , lifelong use , and morning dosing are correct.

Question 5 of 5

All of the following clients are on the unit. Which one is most likely to develop urinary retention?

Correct Answer: C

Rationale: Abdominal hysterectomy involves pelvic manipulation, increasing urinary retention risk due to bladder trauma or nerve disruption. Other surgeries pose lower risk.

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