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Questions 158

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Question 1 of 5

The physician has ordered aerosol treatments, chest percussion, and postural drainage for a client with cystic fibrosis. The nurse recognizes that the combination of therapies is to:

Correct Answer: C

Rationale: These therapies aim to dilate airways (aerosols), mobilize mucus (percussion), and clear secretions (postural drainage) to improve breathing in cystic fibrosis.

Question 2 of 5

The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client's chief complaint?

Correct Answer: D

Rationale: (A, B,
C) These complaints are not specific signs and symptoms associated with abdominal aortic aneurysm. If symptoms are present, the aneurysm is expanding or rupture is imminent. Many clients may experience no symptoms. The only symptom may be a pulsation noted in the abdomen in the reclining position.

Question 3 of 5

Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

Correct Answer: C

Rationale: Having a wig that looks like a girl's own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss.

Question 4 of 5

The nurse is teaching a client with a history of hypertension about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Adherence to antihypertensives is critical in hypertension to maintain blood pressure control and prevent complications.

Question 5 of 5

The nurse is caring for a client with a history of a myocardial infarction who is receiving Nitroglycerin. The nurse should monitor the client for:

Correct Answer: A

Rationale: Nitroglycerin, a vasodilator, commonly causes hypotension due to decreased preload. Tachycardia is possible but secondary, and hyperglycemia/fever are unrelated.

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