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Questions 160

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Question 1 of 5

The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the "OK" sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client's abrupt departure?

Correct Answer: C

Rationale: A. Since the client had participated in the discussion up to the point of the nurse's actions, he obviously was not uncomfortable with the discussion. B. A Latino is usually not uncomfortable with close personal space; some Latinos perceive Anglos as distant because they prefer more personal space during a conversation. C. In much of Latin America, the North American "OK" sign (i.e., pinched thumb and forefinger) may be considered obscene. D. Anger and an abrupt departure are usually not behaviors displayed by the client when teaching is completed.

Question 2 of 5

The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen, indicating a need for further teaching.

Question 3 of 5

A pregnant client with known human immunodeficiency virus (HIV) infection is admitted to the hospital in active labor. Which method of fetal assessment is most appropriate?

Correct Answer: C

Rationale: External fetal monitoring is non-invasive, minimizing HIV transmission risk during labor compared to invasive methods.

Question 4 of 5

Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?

Correct Answer: A

Rationale: A pulse oximeter reading of 85% indicates low oxygen saturation, a direct sign of respiratory difficulty in a smoker.

Question 5 of 5

What are the priorities when planning the care of a 75-year-old hospitalized client who develops pneumonia? Select all that apply.

Correct Answer: B,E,F

Rationale: Maintaining oxygenation addresses hypoxia, a critical issue in pneumonia. Administering antibiotics promptly and obtaining blood cultures ensure timely treatment and accurate diagnosis.

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