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Questions 157

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Question 1 of 5

The nurse is preparing a female client for surgery. The client tells the nurse that she is a Jehovah's Witness and is afraid that the staff will administer blood to her during the procedure while she is under anesthesia. Which is the nurse's best response to the client?

Correct Answer: A

Rationale: Notifying the team and charting the refusal respects the client’s Jehovah’s Witness beliefs, ensuring no blood products are given. Other responses dismiss or challenge beliefs.

Question 2 of 5

Which client should the nurse consider at risk for developing acute renal failure?

Correct Answer: C

Rationale: Anaphylaxis can cause shock, reducing renal perfusion and risking acute renal failure.

Question 3 of 5

The nurse is teaching the client in a cardiac rehabilitation unit. Which dietary information should the nurse discuss with the client?

Correct Answer: A

Rationale: Limiting fats to ≤30% reduces cardiovascular risk, per AHA dietary guidelines for cardiac rehab.

Question 4 of 5

The nurse at the Family Planning Clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation?

Correct Answer: A

Rationale: Condoms prevent STDs, a key public health message for students. Annual exams are recommended but secondary, hormonal delivery methods are specific, and not all contraception requires prescriptions (e.g., condoms).

Question 5 of 5

The 85-year-old client diagnosed with severe end-stage chronic obstructive pulmonary disease has a chest x-ray incidentally revealing an eight (8)-cm abdominal aortic aneurysm (AAA). Which intervention should the nurse implement?

Correct Answer: A

Rationale: An 8-cm AAA in an elderly COPD patient has high rupture risk; end-of-life discussions are appropriate given surgical risks.

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