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Questions 160

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Question 1 of 5

The nurse caring for a client after a subtotal thyroidectomy places the client in semi-Fowler's position. What is the rationale for this action?

Correct Answer: B

Rationale: Semi-Fowler's position reduces incisional edema by promoting venous drainage from the neck, minimizing swelling at the surgical site.

Question 2 of 5

The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?

Correct Answer: 980 mL.

Rationale: Subtract the amount of CBI solution from the total amount of fluid emptied from the urinary drainage device: 4030 mL - 3050 mL = 980 mL.

Question 3 of 5

A client with a suspected myocardial infarction receives nitroglycerin sublingually. Which assessment finding indicates the medication is effective?

Correct Answer: A

Rationale: Nitroglycerin relieves chest pain by dilating coronary arteries, improving blood flow to the myocardium.

Question 4 of 5

The nurse is asked to complete health education on testicular cancer. To obtain the maximal impact, the nurse should plan to present this education to which group?

Correct Answer: A

Rationale: A. Testicular cancer is the most common type of cancer in young men between 15 and 34 years of age.
Therefore, education should be directed at males within this age group. B. Never fathering a child does not change the risk for testicular cancer development if the male is between 15 and 34 years of age. C. Fathering a child does not change the risk for development of testicular cancer; all males in the high-risk age group should be educated. D. Increasing age decreases the risk for testicular cancer.

Question 5 of 5

A client newly diagnosed with cancer receives external radiation therapy. Which of the nurse's instructions regarding bathing is most appropriate?

Correct Answer: D

Rationale: Using a soft cloth minimizes irritation to the sensitive, irradiated skin, promoting comfort and preventing skin breakdown.

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