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Questions 160

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?

Correct Answer: A

Rationale: Muscle weakness is a common sign of hypokalemia due to impaired muscle function.

Question 2 of 5

The nurse is caring for a client with a pressure ulcer. Which dressing is most appropriate for a stage 2 ulcer?

Correct Answer: B

Rationale: A hydrocolloid dressing promotes a moist environment for healing in stage 2 pressure ulcers.

Question 3 of 5

The nurse is assessing a newborn with suspected jaundice. Which finding confirms the presence of jaundice?

Correct Answer: A

Rationale: Yellowing of the sclera is a hallmark sign of jaundice due to bilirubin accumulation.

Question 4 of 5

The nurse is caring for a client with a history of schizophrenia. Which behavior indicates a positive symptom?

Correct Answer: A

Rationale: Hallucinations are a positive symptom of schizophrenia, involving added sensory experiences.

Question 5 of 5

A client with a history of osteoarthritis reports joint stiffness. Which nursing intervention is most appropriate?

Correct Answer: C

Rationale: Gentle range-of-motion exercises reduce stiffness and maintain joint mobility in osteoarthritis.

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