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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

An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client's infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic, tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects

Correct Answer: D

Rationale: Abrupt cessation of TPN can cause hypoglycemia due to persistent insulin secretion, leading to diaphoresis, tachycardia, weakness, and dizziness.

Question 3 of 5

The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?

Correct Answer: D

Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.

Question 4 of 5

The school nurse recognizes that meningitis can be caused by which of the following? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Meningitis can be caused by bacteria, viruses, fungi, parasites, or noninfectious factors (e.g., cancer, trauma).

Question 5 of 5

The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?

Correct Answer: A

Rationale: Hemolytic anemia causes red blood cell destruction, leading to bilirubin buildup and jaundice, which is specific to this type. Anorexia, tachycardia, and fatigue are nonspecific.

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