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Questions 148

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Question 1 of 5

The oncoming nurse receives report on a group of clients. Which client should have priority during the nurse's rounds?

Correct Answer: A

Rationale: A client just returning from surgery requires immediate assessment for postoperative complications, making them the priority.

Question 2 of 5

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

Correct Answer: A

Rationale: Applying the new tie before removing the old one ensures the tracheotomy tube remains secure, preventing accidental dislodgement.

Question 3 of 5

A client with otosderosis is scheduled for a stapedectomy. Which finding suggests a complication involving the seventh cranial nerve?

Correct Answer: D

Rationale: The seventh cranial (facial) nerve controls facial movements and sensation; changes in facial sensation post-stapedectomy suggest nerve involvement.

Question 4 of 5

An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?

Correct Answer: D

Rationale: A femoral neck fracture typically causes shortening of the affected leg due to muscle contraction pulling the bone fragments together, along with external rotation and limited movement.

Question 5 of 5

The nurse is caring for a client with suspected endometrial cancer. Which symptom is associated with endometrial cancer?

Correct Answer: D

Rationale: Endometrial cancer often presents with abnormal uterine bleeding, which may manifest as watery or blood-tinged vaginal discharge. Frothy, thick white, or purulent discharges are more indicative of infections or other gynecologic conditions.

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