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Questions 148

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Question 1 of 5

The home health nurse is visiting a client who plans to deliver her baby at home. Which statement by the client indicates an understanding regarding screening for phenylketonuria (PKU)?

Correct Answer: B

Rationale: PKU screening is typically performed at 2-3 days of age to ensure accurate results, as earlier testing may yield false negatives.

Question 2 of 5

A client scheduled for a cardiac catheterization tells the nurse, 'My mother died during this same procedure 10 years ago. I'm afraid the same thing will happen to me.' Which of the following responses by the nurse is the most appropriate?

Correct Answer: A

Rationale: Acknowledging the client’s fear and discussing the procedure provides reassurance and addresses concerns therapeutically.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?

Correct Answer: D

Rationale: smoking cessation and limiting alcohol reduce bone loss and fracture risk in osteoporosis

Question 4 of 5

The nurse is caring for a client who was admitted to the burn unit 4 hours after the injury with second-degree burns to the trunk and head. Which finding would the nurse least expect to find during this time period?

Correct Answer: C

Rationale: Hypernatremia is least expected within 4 hours of a burn injury, as fluid shifts typically cause hyponatremia due to third-spacing. Hypovolemia, laryngeal edema, and hyperkalemia are common early findings.

Question 5 of 5

Which of the following signs and symptoms would a nurse expect when examining a 22-year-old female with secondary syphilis?

Correct Answer: C

Rationale: Secondary syphilis presents with a non-itchy rash, often on the palms and soles. Chancres are primary syphilis, and skin tumors are tertiary syphilis.

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