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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client who was admitted for chest pain. The client is oriented to person and place, but is often confused about the month of the year or what season it is. A family member tells the nurse, 'I'd like for you to sign as a witness on my mother's living will, in case something happens to her and we need to make health care decisions for her.' Which is the best response by the nurse?

Correct Answer: C

Rationale: The client’s confusion raises concerns about her capacity to understand the living will, which must be addressed before witnessing to ensure validity.

Question 2 of 5

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation techniques. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: pacing activities and resting as needed conserves energy and reduces fatigue in COPD

Question 3 of 5

A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?

Correct Answer: B

Rationale: Obtaining the signed consent form is the nurse's primary responsibility to ensure informed consent before surgery.

Question 4 of 5

The obstetric client's fetal heart rate is 80-90 during the contractions. The first action the nurse should take is:

Correct Answer: B

Rationale: A fetal heart rate of 80-90 suggests distress; turning the client to her left side improves uteroplacental perfusion.

Question 5 of 5

The nurse caring for clients with coronary artery disease recognizes which one of the following as a modifiable risk factor?

Correct Answer: C

Rationale: An elevated LDL level (180 mg/dL) is modifiable through diet, exercise, and medication, unlike family history, race, or gender, which are non-modifiable.

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