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Question 1 of 5

If a client with a conductive hearing loss asks the nurse how a hearing aid improves hearing, which response by the nurse is most appropriate?

Correct Answer: A

Rationale: Conductive hearing loss involves impaired sound transmission to the inner ear. A hearing aid amplifies sounds, making them louder and easier to hear.

Question 2 of 5

Which of the following clients is at the greatest risk of developing maternal and fetal complications during pregnancy? Select all that apply.

Correct Answer: A,D,E

Rationale: Restricting food intake can lead to malnutrition, increasing fetal risks. Advanced maternal age (36) increases complications like gestational diabetes. Refusing prenatal vitamins can cause deficiencies, affecting fetal development.

Question 3 of 5

The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?

Correct Answer: B

Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.

Question 4 of 5

When planning care for a client in sickle cell crisis, what is the main nursing priority?

Correct Answer: C

Rationale: Sickle cell crisis causes severe pain due to vaso-occlusion. Relieving discomfort through pain management is the primary nursing priority.

Question 5 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity; monitoring liver enzymes is essential.

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