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Questions 148

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Question 1 of 5

The nurse is assigned a male client with a long-term in-dwelling catheter for incontinence. The nurse plans on performing which of the following to prevent complications?

Correct Answer: D

Rationale: Stabilizing the catheter prevents traction and urethral trauma. Perineal care uses clean technique, routine irrigation is unnecessary, and fluid restriction is inappropriate.

Question 2 of 5

The nurse is assisting a client who is to undergo a thoracentesis. Which of the following is the optimal position for the procedure?

Correct Answer: D

Rationale: The upright position leaning forward (
D) maximizes lung expansion and access to pleural fluid during thoracentesis.

Question 3 of 5

A client with obsessive compulsive personality disorder annoys his coworkers with his rigid-perfectionistic attitude and his preoccupation with trivial details. An important nursing intervention for this client would be:

Correct Answer: D

Rationale: Setting a time schedule helps the client manage perfectionistic tendencies by structuring tasks, reducing preoccupation with trivial details.

Question 4 of 5

The nurse is assessing a client for hypovolemia. Which laboratory result would help the nurse in confirming a volume deficit?

Correct Answer: A

Rationale: Hypovolemia causes hemoconcentration, increasing hematocrit (e.g., 55% is elevated). Potassium, urine specific gravity, and BUN within normal ranges don't confirm volume deficit.

Question 5 of 5

A client diagnosed with lung cancer asks the nurse what the term MO refers to. The nurse says that MO means

Correct Answer: A

Rationale: In cancer staging, M0 indicates no distant metastasis, per TNM classification.

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