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Questions 227

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Extract:


Question 1 of 5

The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be

Correct Answer: A

Rationale: Reduce fear and protect self-esteem. Ego defense mechanisms are unconscious proactive barriers that are used to manage instinct and affect in the presence of stressful situations. Healthy reactions are those in which the client admits that they are feeling various emotions.

Extract:

A diet rich in calcium over a lifetime will decrease the risk of


Question 2 of 5

Heart disease

Correct Answer: B

Rationale: A diet rich in calcium over a lifetime will decrease the risk of osteoporosis by strengthening bones.

Extract:


Question 3 of 5

The nurse is caring for a client with a fractured femur who is in skeletal traction. Which of the following actions is MOST important for the nurse to perform?

Correct Answer: B

Rationale: Ensuring weights hang freely maintains proper traction alignment, preventing complications like malunion. Checking pin sites (
A) is important but secondary, ROM exercises (
C) are contraindicated in traction, and repositioning (
D) is limited to maintain traction.

Question 4 of 5

Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?

Correct Answer: C

Rationale: A stab wound to the chest is the highest priority due to potential for pneumothorax or mediastinal shift, which can be life-threatening. The ABC (airway, breathing, circulation) principle prioritizes this injury. Physiological Adaptation

Question 5 of 5

The nurse is caring for a client with a history of chronic kidney disease who is receiving hemodialysis. Which of the following findings would require immediate intervention?

Correct Answer: C

Rationale: Bright red blood in the dialysis tubing indicates a potential access site bleed or tubing disconnection, requiring immediate intervention to prevent blood loss. Mild hypertension (
A) and weight gain (
B) are common, and a normal potassium level (
D) is unremarkable.

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