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Questions 163

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Question 1 of 5

The nurse understands that a priority goal of involuntary hospitalization of the severely mentally ill client is

Correct Answer: C

Rationale: Protection from harm to self or others. Involuntary hospitalization is required for individuals who are dangerous to themselves or others.

Question 2 of 5

The health care provider has told a client to take over-the-counter supplemental calcium carbonate 1000 mg/day for treatment of osteoporosis. Which instruction should the clinic nurse reinforce with the client?

Correct Answer: D

Rationale: Taking calcium carbonate in divided doses with food enhances absorption and reduces GI upset. Monthly calcium levels are unnecessary, vitamin D should continue, and bedtime dosing is less effective.

Question 3 of 5

A client comes to the emergency department for the second time with shortness of breath and substernal pressure that radiates to the jaw. The nurse understands that angina pectoris may be precipitated by which of these factors? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Angina can be triggered by amphetamines increasing cardiac demand, smoking causing vasoconstriction, cold exposure inducing vasospasm, and sexual intercourse raising heart rate. Deep sleep typically reduces demand.

Question 4 of 5

The nurse is discussing mammogram screening with a family. No one in the family has had a mammogram. The mother is 52, there are four daughters, ages 10, 15, 21, and 34, and the grandmother is 75. Which of the following women should receive a mammogram? Select all that apply.

Correct Answer: D,E,F

Rationale: Women aged 40 and older, or earlier with risk factors, should have mammograms. The 34-year-old, 52-year-old, and 75-year-old women meet screening age criteria.

Question 5 of 5

Which of the following statements describes what the nurse must know in order to provide anticipatory guidance to parents of a toddler about readiness for toilet training?

Correct Answer: B

Rationale: Myelination of the spinal cord is completed by this age, enabling voluntary sphincter control between 18 to 24 months.

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