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Extract:


Question 1 of 5

An adult asks the nurse why she must have her skin shaved prior to surgery. What is the best nursing response? Reducing the hair by shaving:

Correct Answer: A

Rationale: Shaving reduces infection risk by removing hair, which can harbor bacteria, the primary rationale for preoperative skin preparation.

Extract:

Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.


Question 2 of 5

As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:

Correct Answer: C

Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.

Extract:


Question 3 of 5

While writing a report at 3:15 in the afternoon, the nurse realizes that she forgot to chart the client's physical therapy, which occurred at 10:30 A.M. Which is the appropriate action for the nurse to take?

Correct Answer: B

Rationale: A late entry with the correct time (10:30 A.M.) ensures accurate documentation, maintaining the integrity of the medical record.

Question 4 of 5

A couple trying to conceive asks the nurse when ovulation occurs. The woman reports a regular 32 day cycle. Which response by the nurse is correct?

Correct Answer: D

Rationale: Days 17-19. Ovulation occurs 14 days prior to menses. Considering that the woman's cycle is 32 days, subtracting 14 from 32 suggests ovulation is at about the 18th day.

Question 5 of 5

An adult asks the nurse why she must have her skin shaved prior to surgery. What is the best nursing response? Reducing the hair by shaving:

Correct Answer: A

Rationale: Shaving reduces infection risk by removing hair, which can harbor bacteria, the primary rationale for preoperative skin preparation.

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