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Question 1 of 5

The nurse asked the client if he has an advance directive. The reason for asking the client this question is:

Correct Answer: B

Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.

Question 2 of 5

A client arrives at the emergency department in her third trimester of pregnancy with painless vaginal bleeding. Which condition is suspected?

Correct Answer: C

Rationale: Painless vaginal bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervix.

Question 3 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

Question 4 of 5

A 60-year-old client has undergone a nerve-sparing prostatectomy and has been advised by his physician that he may not recover normal sexual functioning. The client is very concerned about this and asks the nurse for more information. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Post-prostatectomy, retrograde ejaculation (
A), variable recovery time (
B), avoiding intercourse for 1 month (
D), and anxiety's impact (E) are relevant. Recovery within a month (
C) is incorrect, and prioritizing other intimacy (F) is subjective.

Question 5 of 5

Lidocaine is a medication frequently ordered for the client experiencing:

Correct Answer: B

Rationale: Lidocaine is used to treat ventricular tachycardia by stabilizing cardiac membranes.

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A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?

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