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Question 1 of 5

The recent increase in the reported cases of active tuberculosis (TB) in the United States is attributed to which factor?

Correct Answer: B

Rationale: The rise in reported cases of positive HIV infections. Between 1985 and 2002 there has been a significant increase in the reported cases of TB. The increase was most evident in cities with a high incidence of positive HIV infection. Positive HIV infection currently is the greatest known risk factor for reactivating latent TB infections.

Question 2 of 5

Which of the following lab values might the nurse expect to see in a client with Addison's disease?

Correct Answer: C

Rationale: Addison's disease causes hyperkalemia (elevated potassium, not 3.5 mEq/L, which is normal) and hyponatremia due to adrenal insufficiency.

Question 3 of 5

In planning discharge teaching for a client after a lumbar laminectomy, the nurse would instruct the client to exercise regularly to strengthen which muscles?

Correct Answer: B

Rationale: strengthening the abdominal muscles adds support for the muscles supporting the lumbar spine

Question 4 of 5

A client with polyuria, polydipsia, and polyphagia is diagnosed with diabetes mellitus. The nurse would expect that these symptoms are related to

Correct Answer: B

Rationale: Polyuria, polydipsia, and polyphagia are classic symptoms of hyperglycemia in diabetes mellitus. Hypoglycemia , hyperparathyroidism , and hyperthyroidism do not typically cause this triad.

Question 5 of 5

In addition to routine vital signs, what should the nurse assess because the client had a lumbar laminectomy?

Correct Answer: B

Rationale: Lumbar laminectomy affects lower spine nerves; assessing foot strength evaluates neurological function in the legs. Hand grasps, swallowing, and abdominal strength are unrelated.

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