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Questions 158

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Question 1 of 5

The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:

Correct Answer: A

Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.

Question 2 of 5

Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?

Correct Answer: B

Rationale: Meningitis at six months can cause brain injury, contributing to cerebral palsy, a condition often linked to perinatal or early postnatal neurological damage. Full-term birth, physiologic jaundice, and sore throats are not directly related.

Question 3 of 5

The nurse is caring for a client with a diagnosis of postpartum endometritis. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Postpartum endometritis is a bacterial infection of the uterus treated with antibiotics (e.g. ampicillin gentamicin). Magnesium sulfate methylergonovine and betamethasone are used for other obstetric conditions.

Question 4 of 5

Which of the following is the best indicator of the diagnosis of HIV?

Correct Answer: C

Rationale: The Western blot is the confirmatory test for HIV diagnosis, detecting specific antibodies with high specificity. ELISA is a screening test, while WBC and CBC are non-specific and not diagnostic for HIV.

Question 5 of 5

The nurse is teaching a client with a new colostomy about appliance care. Which instruction should be included?

Correct Answer: B

Rationale: Emptying the colostomy pouch when one-third to one-half full prevents leakage and skin irritation. Changing every 12 hours is excessive, soap may leave residue, and lotion can interfere with adhesion.

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