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Questions 164

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Question 1 of 5

An adult is admitted with a possible detached retina. Which findings would the nurse expect during the admission assessment?

Correct Answer: B

Rationale: Detached retina causes a visual field defect, like a blank area or curtain, due to retinal separation, unlike pain, halos (glaucoma), or tunnel vision.

Question 2 of 5

The nurse has attended a staff education program about interdisciplinary communication. The nurse should recognize that the most important outcome of effective interdisciplinary communication is

Correct Answer: C

Rationale: Effective interdisciplinary communication primarily reduces medical errors by ensuring accurate information sharing.

Question 3 of 5

The clinic nurse reinforces teaching to a client with systemic lupus erythematosus. Which instructions will the nurse include? Select all that apply.

Correct Answer: B,C,D

Rationale: Stress, sun exposure, and infections can exacerbate lupus. Influenza vaccination is recommended, and antibiotic soap is unnecessary.

Question 4 of 5

Which of the following signs is highly suggestive of impaired hearing in an infant?

Correct Answer: B

Rationale: Absence of babbling by 7 months is a red flag for hearing impairment, as infants typically begin vocalizing in response to sounds. Other signs are less specific to hearing.

Question 5 of 5

The daughter of a 78-year-old woman asks the nurse why her mother is giving away some of her belongings to her children and grandchildren. What should the nurse include when responding?

Correct Answer: B

Rationale: Giving away belongings reflects preparation for death, a normal developmental task in older adults achieving ego integrity. Generosity, distrust, or suicide are less likely.

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