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Question 1 of 5

The nurse is caring for a client with a history of cirrhosis. Which laboratory value is most concerning?

Correct Answer: A

Rationale: Elevated ammonia levels in cirrhosis can lead to hepatic encephalopathy, a serious complication.

Question 2 of 5

A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?

Correct Answer: A

Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.

Question 3 of 5

The nurse is assessing a client with suspected anaphylactic shock. Which finding is most concerning?

Correct Answer: A

Rationale: Wheezing indicates airway constriction, a life-threatening sign in anaphylactic shock.

Question 4 of 5

Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?

Correct Answer: A

Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.

Question 5 of 5

The nurse is asked to complete health education on testicular cancer. To obtain the maximal impact, the nurse should plan to present this education to which group?

Correct Answer: A

Rationale: A. Testicular cancer is the most common type of cancer in young men between 15 and 34 years of age.
Therefore, education should be directed at males within this age group. B. Never fathering a child does not change the risk for testicular cancer development if the male is between 15 and 34 years of age. C. Fathering a child does not change the risk for development of testicular cancer; all males in the high-risk age group should be educated. D. Increasing age decreases the risk for testicular cancer.

Similar Questions

The nurse is caring for a client who has just been diagnosed with sinus bradycardia. Indicate with an X the area on the illustration where the heartbeat's electrical impulse is initiated.
While walking down the hallway, a nurse notices that a coworker has left the computer screen on while still logged into the system. A newly admitted client's sexual history is visible. The nurse leaves the screen as it is and tries to locate the coworker. Upon returning, the nurse sees that a visitor is reading the computer screen. Who is responsible for this Health Insurance Portability and Accountability Act (HIPAA) violation? Select all that apply.
Which assessment finding provides the best evidence that a client remains adequately oxygenated while a tracheostomy is suctioned?
A client diagnosed with a GI bleed has received an order for a blood transfusion. Place the nursing actions in the correct order for administering the blood transfusion.
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.

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