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Questions 160

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of schizophrenia. Which behavior indicates a positive symptom?

Correct Answer: A

Rationale: Hallucinations are a positive symptom of schizophrenia, involving added sensory experiences.

Question 2 of 5

A client with a history of atrial fibrillation is prescribed warfarin. Which INR range is therapeutic for this condition?

Correct Answer: B

Rationale: An INR of 2.0–3.0 is therapeutic for atrial fibrillation to prevent thromboembolism.

Question 3 of 5

The nurse is assessing a newborn with suspected jaundice. Which finding confirms the presence of jaundice?

Correct Answer: A

Rationale: Yellowing of the sclera is a hallmark sign of jaundice due to bilirubin accumulation.

Question 4 of 5

A client with a history of alcoholism is admitted with confusion and tremors. Which medication is the nurse most likely to administer?

Correct Answer: D

Rationale: Thiamine is given to prevent Wernicke's encephalopathy, a complication of chronic alcoholism causing confusion and tremors.

Question 5 of 5

After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?

Correct Answer: B

Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.

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