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Question 1 of 5

During a home visit, the nurse observes a man who is recovering from a left total hip replacement. Which observation indicates that the client understands his care?

Correct Answer: D

Rationale: Holding the cane in the right hand (opposite the affected left hip) provides support and balance, indicating proper care understanding. Soft chairs, bending, or crossing legs risk hip dislocation.

Question 2 of 5

The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be

Correct Answer: A

Rationale: Reduce fear and protect self-esteem. Ego defense mechanisms are unconscious proactive barriers that are used to manage instinct and affect in the presence of stressful situations. Healthy reactions are those in which the client admits that they are feeling various emotions.

Question 3 of 5

An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

Correct Answer: D

Rationale: Blood at the urethral meatus suggests trauma, contraindicating catheterization. A urologist consult is necessary for specialized evaluation and management. Physiological Adaptation

Question 4 of 5

A nurse is administering metoprolol (Lopressor) to a patient with hypertension. Which of the following assessments is most important before administering this medication?

Correct Answer: A

Rationale: Metoprolol, a beta-blocker, lowers blood pressure and heart rate, so assessing blood pressure prevents hypotension or bradycardia. Respiratory rate, temperature, and oxygen saturation are less critical.

Question 5 of 5

The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

Correct Answer: B

Rationale: The PSDA promotes advance decision-making for medical care, encouraging clients to plan before a crisis. It does not set a federal standard or focus solely on legal control or education. Coordinated Care

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