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Questions 149

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Question 1 of 5

The physician's notes state that a client with cocaine addiction has formication. The nurse recognizes that the client has:

Correct Answer: A

Rationale: Formication is a tactile hallucination, often described as feeling bugs crawling on the skin, commonly associated with cocaine use.

Question 2 of 5

The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?

Correct Answer: B

Rationale: unexpected until 6 months of age

Question 3 of 5

The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.

Correct Answer: A,C

Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.

Question 4 of 5

The nurse is caring for a client with COPD. Which of the associated disorders has changes that are reversible?

Correct Answer: C

Rationale: Asthma is characterized by reversible airway obstruction, unlike bronchiectasis, emphysema, and chronic bronchitis, which involve permanent structural changes.

Question 5 of 5

The home health nurse is planning for the day's visits. Which client should be seen first?

Correct Answer: C

Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.

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