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Questions 164

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Extract:


Question 1 of 5

The nurse is discussing hypertension with a group of people. Which person is at greatest risk for hypertension?

Correct Answer: A

Rationale: Age, obesity, smoking, and family history of hypertension confer the highest risk, as seen in the 63-year-old Caucasian female.

Question 2 of 5

The nurse is caring for a client who does not speak English. Which of the following actions should the nurse take to facilitate communication with the client? Select all that apply.

Correct Answer: B,C,E

Rationale: Short sentences aid clarity. Gender preference respects cultural needs. Ensuring understanding confirms effective communication. Using a spouse risks bias, and speaking to the interpreter excludes the client.

Question 3 of 5

The nurse in the emergency department is caring for a client who has a small piece of wood penetrating the right eye. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Stabilizing the object prevents further damage until surgical removal. Flushing , removing , or applying ointment risks worsening the injury.

Question 4 of 5

An adult who has a tracheostomy needs to be suctioned. How should the nurse position the client for this procedure?

Correct Answer: B

Rationale: Semi-sitting facilitates airway access and reduces aspiration risk during tracheostomy suctioning. Supine or lateral positions are less effective.

Question 5 of 5

The nurse employed in a woman's health care clinic would be most concerned about which client statement?

Correct Answer: C

Rationale: Red, warm breast with indented skin suggests inflammatory breast cancer, requiring urgent evaluation. A mobile lump is often benign, nipple pain is common in breastfeeding, and cyclic nodules are typically hormonal.

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