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Questions 158

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Question 1 of 5

The nurse is caring for a client with an endemic goiter. The nurse recognizes that the client's condition is related to:

Correct Answer: A

Rationale: Endemic goiter results from iodine deficiency, often in areas with iodine-depleted soil, leading to insufficient thyroid hormone production.

Question 2 of 5

The nurse is caring for a client with a history of ectopic pregnancy. Which risk factor is most likely to be present?

Correct Answer: A

Rationale: Pelvic inflammatory disease (PI
D) is a major risk factor for ectopic pregnancy as it can scar the fallopian tubes impairing embryo transport. Gestational diabetes hypertension and multiple gestations are not strongly associated.

Question 3 of 5

The nurse is performing an assessment on a newborn with suspected coarctation of the aorta. Which finding is most likely?

Correct Answer: A

Rationale: Coarctation of the aorta causes narrowed aortic flow, leading to diminished femoral pulses. Murmurs may occur, but pulse discrepancy is most characteristic.

Question 4 of 5

A client has developed congestive heart failure secondary to his myocardial infarction. Discharge diet instructions should emphasize the reduction or avoidance of:

Correct Answer: B

Rationale: Canned and frozen foods have a high sodium content. Labels of all canned foods should be read to determine if sodium is used in any form.

Question 5 of 5

The client is admitted with a diagnosis of ectopic pregnancy. Which symptom is most characteristic of this condition?

Correct Answer: A

Rationale: Ectopic pregnancy often presents with sudden sharp abdominal pain due to tubal stretching or rupture. Painless bleeding is more typical of placenta previa and fever or edema are not characteristic.

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