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Questions 148

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Question 1 of 5

The nurse is assessing a client upon arrival to the emergency department. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?

Correct Answer: C

Rationale: Cyanotic ear lobes indicate severe hypoxemia, a late sign of airway obstruction. Restlessness and stridor are earlier, and rales are unrelated.

Question 2 of 5

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

Correct Answer: A

Rationale: A tracheotomy set is kept at the bedside post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma.

Question 3 of 5

A 19-year-old male has been experiencing vomiting and diarrhea for 3 days due to food poisoning. The nurse expects a urine specific gravity of

Correct Answer: D

Rationale: Dehydration from vomiting and diarrhea increases urine specific gravity (normal 1.005-1.030). 1.041 indicates concentrated urine due to fluid loss.

Question 4 of 5

All of the following are modifiable risk factors for coronary artery disease (CAD) EXCEPT

Correct Answer: D

Rationale: Family history is a non-modifiable risk factor for CAD. Stress, obesity, and smoking can be modified through lifestyle changes.

Question 5 of 5

A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

Correct Answer: B

Rationale: A surge in luteinizing hormone triggers ovulation, the time when conception is most likely.

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