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Questions 157

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Question 1 of 5

The rehabilitation nurse is caring for an elderly client who had a surgical repair of a fractured hip. The client states she misses her dog. Which intervention should the nurse implement?

Correct Answer: C

Rationale: Pet therapy with a trained dog provides emotional support without logistical issues of bringing the client’s dog. TV shows, family visits, or empathy alone are less effective.

Question 2 of 5

The client using contraceptive foam for birth control has not had her menses for two (2) months. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Amenorrhea for two months with contraceptive foam (less effective than other methods) suggests possible pregnancy, requiring a pregnancy test first. Vaginal exam, urine analysis, and vital signs are secondary.

Question 3 of 5

The nurse is teaching a class on sexually transmitted diseases to high school sophomores. Which information should be included in the discussion?

Correct Answer: D

Rationale: Unprotected sex increases STD risk (e.g., HIV, chlamydia), a key teaching point for adolescents, per CDC guidelines.

Question 4 of 5

The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?

Correct Answer: C

Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.

Question 5 of 5

The client diagnosed with arterial occlusive disease is prescribed an antiplatelet medication, clopidogrel (Plavix). Which assessment data indicate the medication is effective?

Correct Answer: C

Rationale: Clopidogrel prevents platelet aggregation, reducing stroke risk in arterial disease, indicating effectiveness.

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