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Question 1 of 5

The nurse is caring for a client after a burn. Which assessment finding best indicates that the client's respiratory efforts are currently adequate?

Correct Answer: C

Rationale: An O2 saturation of 97% directly indicates adequate oxygenation from respiratory efforts. Talking (
A), alertness (
B), and chest movement (
D) are indirect and less specific.

Question 2 of 5

A home health nurse has several elderly clients in her case load. Which of the following clients ~(is most likely to be a victim of elder abuse?

Correct Answer: A

Rationale: Elderly clients with Alzheimer's dementia are at highest risk for abuse due to cognitive impairment, dependency, and potential caregiver stress. The other conditions pose less risk.

Question 3 of 5

The mother of a six-year-old with autistic disorder tells the nurse that her son has been much more difficult to care for since the birth of his sister. The best explanation for changes in the child's behavior is:

Correct Answer: C

Rationale: Children with autism often rely on structured routines, and disruptions, such as a new sibling, can lead to behavioral changes due to difficulty adapting to change.

Question 4 of 5

A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who reported bizarre behavior. Except for going to work, she spends all her time in her room and expresses concern over neighbors spying on her. She has fears of the telephone being 'bugged.' Her diagnosis is schizophrenia. One nurse per shift is assigned to work with the client. The primary reason for this plan would be to:

Correct Answer: B

Rationale: The client is suspicious and needs help to develop trust, which is basic to her improvement. Consistent nursing assignment fosters a therapeutic relationship.

Question 5 of 5

The nurse is caring for a client with a history of myasthenia gravis. Which medication should the nurse anticipate being prescribed?

Correct Answer: A

Rationale: Pyridostigmine, a cholinesterase inhibitor, is used to treat myasthenia gravis by improving neuromuscular transmission. The other medications are for seizures, hypertension, or arthritis, not myasthenia.

Similar Questions

A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?
The nurse is performing an assessment on a client with a suspected diagnosis of cataracts. The chief complaint is likely to be:
A client arrives in the emergency room with severe burns of the hands, right arm, face, and neck. The nurse needs to start an IV.
A 4-year-old child with a history of sickle cell anemia is admitted to the nursing unit with dizziness, shortness of breath, and pallor. Nursing assessment findings reveal tenderness in the abdomen. The child is most likely experiencing a/an:
A 45-year-old male client experiences a sense of depression because he has not yet achieved his life's goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the client's feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Erikson's stages?

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