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Questions 149

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Question 1 of 5

The physician has ordered a homocysteine blood level on a client. The nurse recognizes that the results will be increased in a client with a deficiency in:

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for homocysteine metabolism, unlike other vitamins listed.

Question 2 of 5

Which nursing assessment indicates that involutional changes have occurred in a client who is 3 days postpartum?

Correct Answer: A

Rationale: A firm fundus 3 finger widths below the umbilicus by day 3 postpartum indicates normal uterine involution, as the uterus shrinks progressively after delivery.

Question 3 of 5

A client at a psychiatric hospital tells the nurse that he does not want to join the others for dinner in the dining room because he already ate. The nurse is aware this client has been diagnosed with avoidant personality disorder. The best response from the nurse is to

Correct Answer: D

Rationale: Avoidant personality disorder involves social withdrawal due to fear of rejection. Gently encouraging participation while providing support (walking with the client) promotes socialization without confrontation.

Question 4 of 5

To ensure safety while administering a nitroglycerine patch, the nurse should:

Correct Answer: A

Rationale: Gloves prevent the nurse from absorbing nitroglycerin, avoiding side effects.

Question 5 of 5

A 52-year-old client is undergoing menopause. Which of the following physical sign or symptom is often attributed to decreased estrogen production associated with menopause?

Correct Answer: C

Rationale: Decreased estrogen in menopause often leads to increased fat deposits on hips and abdomen (
C). Weight loss (
A), excessive sleeping (
B), and increased metabolic rate (
D) are not typical.

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