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Questions 149

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Question 1 of 5

The graduate nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority?

Correct Answer: A

Rationale: Adequate blood pressure ensures organ perfusion for donation.

Question 2 of 5

A 16-year-old girl presents with peptic ulcers, constipation, low self-esteem, irregular menstrual cycle, and dental erosion. Her weight has fluctuated between 96 and 128 pounds over the past year. The nurse suspects the girl is suffering from

Correct Answer: B

Rationale: Bulimia nervosa is characterized by binge-purge cycles, leading to dental erosion, peptic ulcers, irregular menses, and weight fluctuations.

Question 3 of 5

The home health nurse is visiting a 30-year-old with sickle cell disease. Assessment findings include spleenomegaly. What information obtained on the visit would cause the most concern? The client:

Correct Answer: D

Rationale: Working as a furniture mover involves heavy physical exertion, which can trigger a sickle cell crisis due to increased oxygen demand and dehydration, posing a significant risk.

Question 4 of 5

The nurse is caring for a client with bulimia nervosa. The nurse recognizes that the major difference in the client with anorexia nervosa and the client with bulimia nervosa is the client with bulimia:

Correct Answer: C

Rationale: Clients with bulimia often recognize their eating disorder, unlike those with anorexia, who may deny the problem due to distorted body image.

Question 5 of 5

A woman has undergone a mastectomy of her right breast and has been brought to the recovery unit. The nurse explains that the client should

Correct Answer: A

Rationale: Elevating the arm on a pillow reduces lymphedema risk post-mastectomy by promoting lymphatic drainage.

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