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Questions 227

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Extract:


Question 1 of 5

Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that would most suggest necrotizing fasciitis is:

Correct Answer: C

Rationale: Severe pressurelike pain out of proportion to visible signs distinguishes necrotizing fasciitis from cellulitis. Erythema, leukocytosis, and swelling are present in both cellulitis and necrotizing fasciitis.

Question 2 of 5

The nurse is caring for a client with a history of schizophrenia who is experiencing auditory hallucinations. Which of the following interventions is MOST appropriate?

Correct Answer: B

Rationale: Listening to music with headphones can distract from auditory hallucinations, reducing their intensity. Arguing (
A) increases agitation, ignoring voices (
C) is ineffective, and administering medication (
D) is appropriate but not the most immediate non-pharmacologic intervention.

Extract:

If a patient comes into facility with muscle weakness, where should you focus your physical assessment?


Question 3 of 5

If a patient comes into facility with muscle weakness, where should you focus your physical assessment?

Correct Answer: B

Rationale: Muscle strength assessment directly evaluates the extent and distribution of weakness.

Extract:

The patient with DM has flu.


Question 4 of 5

Which nursing action is more appropriate?

Correct Answer: A

Rationale: Flu can disrupt glucose control, making frequent monitoring critical.

Extract:


Question 5 of 5

Which of the following findings is most typical of a client with a fractured hip?

Correct Answer: A

Rationale: Pain in the hip and leg is the most typical symptom of a hip fracture. Diminished sensation, absent pulses, or disalignment may occur but are less common.

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