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Extract:

Physical findings commonly seen in hypothyroidism include:


Question 1 of 5

Coarse hair, thin brittle nails

Correct Answer: A

Rationale: Coarse hair and thin brittle nails are classic signs of hypothyroidism due to decreased metabolic rate.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 2 of 5

Which of the following nursing interventions would be contraindicated to the patient with Leukemia?

Correct Answer: A

Rationale: Rectal temperatures risk rectal injury and infection in neutropenic patients.

Extract:


Question 3 of 5

A patient with major depressive disorder is prescribed fluoxetine (Prozac). Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Fluoxetine’s full effect takes 4–6 weeks, and patients must continue it to maintain benefits. Bedtime dosing is not standard, grapefruit juice is irrelevant, and stopping early risks relapse.

Question 4 of 5

The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions?

Correct Answer: B

Rationale: Increasing oral fluid intake to 3000 cc per day. Secretion removal is enhanced with adequate hydration, which thins and liquefies secretions.

Question 5 of 5

The parent of a young adult recently diagnosed as being HIV positive calls the clinic in a panic saying, 'My son just cut himself shaving, and there is blood all over the bathroom. What should I do?' How should the nurse respond?

Correct Answer: C

Rationale: Household bleach effectively disinfects HIV in blood spills, and gloves protect the parent, following standard precautions.

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