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Questions 149

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Extract:


Question 1 of 5

The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?

Correct Answer: D

Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.

Question 2 of 5

A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

Correct Answer: C

Rationale: Prior radiation therapy, especially for Hodgkin's disease, is a known risk factor for developing leukemia due to DNA damage in bone marrow cells.

Question 3 of 5

Which instruction would not be included in the discharge teaching of the client receiving chlorpromazine (Thorazine)?

Correct Answer: B

Rationale: Avoiding aged cheese is relevant for MAO inhibitors, not chlorpromazine, which does not interact with tyramine-containing foods.

Question 4 of 5

The nurse is caring for a client with a diagnosis of major depressive disorder. Which of the following client statements would indicate that the client is responding positively to the prescribed antidepressant therapy?

Correct Answer: A

Rationale: improved energy level is a positive sign of response to antidepressant therapy

Question 5 of 5

A diabetic client self-administers insulin four times daily. Which of the following statements by the client indicates the need for further education?

Correct Answer: A

Rationale: Flushing needles down the toilet (
A) is unsafe and improper disposal; needles should be placed in a sharps container. Carrying glucose tablets (
B), occasional desserts (
C), and avoiding sandals (
D) are appropriate for diabetes management.

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