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Extract:

A male patient with thrombophlebitis is apprehensive about the possibility of a clot reaching his heart, causing sudden death.


Question 1 of 5

The nurse's initial intervention should be to:

Correct Answer: A

Rationale: Clarifying that thrombophlebitis clots rarely reach the heart addresses the patient's fear directly.

Extract:


Question 2 of 5

The wife of a man who is comatose following a head injury asks the nurse if she should visit him since he is unresponsive. How should the nurse reply initially?

Correct Answer: C

Rationale: Presence of loved ones may provide comfort and stimulate awareness in comatose patients, supporting family involvement. Other responses discourage visitation.

Extract:

Classic symptoms of appendicitis:


Question 3 of 5

Classic symptoms of appendicitis:

Correct Answer: B

Rationale: Right lower quadrant pain, fever, and elevated WBC are classic appendicitis symptoms.

Extract:

The nurse understands that the patient with esophageal varices should not be given food such as:


Question 4 of 5

The nurse understands that the patient with esophageal varices should not be given food such as:

Correct Answer: A

Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.

Extract:


Question 5 of 5

Which of the following findings is most typical of a client with a fractured hip?

Correct Answer: A

Rationale: Pain in the hip and leg is the most typical symptom of a hip fracture. Diminished sensation, absent pulses, or disalignment may occur but are less common.

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