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Questions 149

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Question 1 of 5

The home health nurse is visiting a client with Paget's disease. An important part of preventive care for the client with Paget's disease is:

Correct Answer: A

Rationale: Paget's disease increases fracture risk, so keeping the environment clutter-free reduces fall risks, a key preventive measure.

Question 2 of 5

Following femoral catheterization for percutaneous coronary intervention (PCI), the client has increasing pain in the catheterization site, and the nurse notes visible edema and induration surrounding the site. The nurse suspects a hematoma and notifies the physician. Which of the following interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Hematoma management includes applying pressure (
A), marking edema (
B), monitoring hemoglobin/hematocrit (
C), and maintaining bedrest (
D). Clotting factors (E) are not typically needed.

Question 3 of 5

A child was exposed to the hepatitis A virus, became ill, and made a full recovery 2 years ago. The child is now immune to the hepatitis A virus and will likely be protected for the rest of her life. This type of immunity is referred to as

Correct Answer: B

Rationale: Recovery from hepatitis A infection confers lifelong immunity via naturally acquired active immunity, as the body produces its own antibodies.

Question 4 of 5

Four clients are admitted to a medical unit. If only one private room is available, it should be assigned to:

Correct Answer: B

Rationale: Neutropenia increases infection risk, so a private room minimizes exposure to pathogens.

Question 5 of 5

A patient refuses to take his dose of oral medication. The nurse tells the patient that if he does not take the medication that she will administer it by injection. The nurse's comments can result in a charge of:

Correct Answer: B

Rationale: Threatening to administer medication by injection against the patient's will constitutes assault, as it involves a threat of unwanted contact.

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