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Questions 160

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Question 1 of 5

If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?

Correct Answer: A

Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.

Question 2 of 5

Which nursing intervention is most appropriate for meeting the needs of an infant with congenital heart disease?

Correct Answer: A

Rationale: Responding quickly to crying minimizes stress and oxygen demand in an infant with congenital heart disease.

Question 3 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Which oxygen delivery method is most appropriate for this client?

Correct Answer: C

Rationale: A Venturi mask delivers precise oxygen concentrations, which is critical for COPD clients to avoid suppressing their hypoxic drive.

Question 4 of 5

The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?

Correct Answer: D

Rationale: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.

Question 5 of 5

Which statement made by the parents of a toddler best suggests that the child has cystic fibrosis?

Correct Answer: A

Rationale: Salty perspiration is a hallmark of cystic fibrosis due to defective chloride transport, detectable through a sweat chloride test.

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