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Questions 157

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Question 1 of 5

The female client is admitted to the orthopedic floor with a spiral fracture of the arm and multiple contusions and abrasions covering the trunk of the body. Her husband accompanies her. During the admission interview, which intervention is priority?

Correct Answer: B

Rationale: Privacy allows safe discussion of injury causes, assessing for potential abuse, the priority.

Question 2 of 5

When interviewing the client of Hindu heritage, which information should the nurse obtain to plan culturally sensitive care?

Correct Answer: B

Rationale: Ayurveda, common in Hindu culture, may influence health practices (e.g., herbs, diet), guiding culturally sensitive care. Advance directives, interpreters, and allergies are general, not Hindu-specific.

Question 3 of 5

The nurse is assisting the client diagnosed with chronic pain to identify methods of complementary and alternative medicine (CAM). Which would indicate an expected outcome was achieved?

Correct Answer: D

Rationale: Performing ADLs without pain indicates effective CAM, improving function. Bed rest, increased pain, or routine medication are not CAM-specific outcomes.

Question 4 of 5

The client is performing breast self-examination (BSE) by the American Cancer Society's recommended steps and has completed palpating the breast. Which step is next when completing the BSE?

Correct Answer: A

Rationale: After palpation, visual inspection in a mirror detects skin changes, the next ACS BSE step.

Question 5 of 5

The primary nurse is applying antiembolism hose to the client who had a total hip replacement. Which situation warrants immediate intervention by the charge nurse?

Correct Answer: C

Rationale: Wrinkles in antiembolism hose can cause skin breakdown or impaired circulation, requiring immediate correction.

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