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Questions 160

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Question 1 of 5

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

Correct Answer: A

Rationale: Weight loss is a common sign of hyperthyroidism due to increased metabolism.

Question 2 of 5

A client with a history of epilepsy is prescribed phenytoin (Dilantin). Which instruction should the nurse include?

Correct Answer: A

Rationale: Phenytoin can cause gingival hyperplasia; regular oral hygiene reduces this risk.

Question 3 of 5

Which of the following clients is at the greatest risk of developing maternal and fetal complications during pregnancy? Select all that apply.

Correct Answer: A,D,E

Rationale: Restricting food intake can lead to malnutrition, increasing fetal risks. Advanced maternal age (36) increases complications like gestational diabetes. Refusing prenatal vitamins can cause deficiencies, affecting fetal development.

Question 4 of 5

The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?

Correct Answer: C

Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.

Question 5 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.

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