Questions 150

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Question 1 of 5

The nurse is developing a community health education program about sexually transmitted diseases. Which information about women who acquire gonorrhea should be included?

Correct Answer: C

Rationale: Women with gonorrhea are often asymptomatic, which increases the risk of delayed treatment and complications, a key point for education.

Question 2 of 5

After surgery to create a urinary diversion, the client is at risk for a urinary tract infection. The nurse should plan to incorporate which of the following interventions into the client's care?

Correct Answer: B

Rationale: Emptying the appliance when one-third full prevents urine stasis, reducing infection risk.

Question 3 of 5

A client develops an irregular heart rate. Which statement made by the client who has developed an irregular heart rate indicates to the nurse that the client is ready for learning?

Correct Answer: D

Rationale: Learning depends on two things: physical and emotional readiness to learn. A good time to teach is when the client indicates an interest in learning, is motivated, and is physically capable of concentrating on learning. Option 4 addresses the client's readiness because the client is directly asking about the disorder. Option 1 indicates that the client is potentially physically incapable of learning at this time. The client indicates wanting to learn about pacemakers in option 2; however, the client has formed a hasty conclusion because the need for a pacemaker has not been determined. In option 3, by assuming that the medications will change, the client is emotionally unprepared for learning because the statement is based on incomplete data.

Question 4 of 5

The client is having ototoxic effects of the vestibular branch of the acoustic nerve. The nurse should assess the client for which of the following? Select all that apply.

Correct Answer: A,C,D

Rationale: Ototoxicity affecting the vestibular branch causes vertigo, nausea, and ataxia due to balance disruption. Tinnitus and hearing loss are associated with cochlear branch damage.

Question 5 of 5

A 15-month-old child is admitted to the pediatric unit with the diagnosis of pneumonia and is placed in a mass test. Which following toys would be appropriate for this child?

Correct Answer: D

Rationale: Plastic blocks are safe and age-appropriate for a 15-month-old, promoting fine motor skills without posing a choking hazard or requiring mobility restricted by a mist tent.

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