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Questions 149

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Extract:


Question 1 of 5

The transverse plane

Correct Answer: A

Rationale: The transverse plane divides the body horizontally into superior (upper) and inferior (lower) sections.

Question 2 of 5

A client is brought to the emergency room by the police. He is combative and yells, 'I have to get out of here. They are trying to kill me.' Which assessment is most likely correct in relation to this statement?

Correct Answer: C

Rationale: The client's statement reflects paranoid delusions, a belief that others intend harm, common in psychotic disorders.

Question 3 of 5

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

Correct Answer: A

Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.

Question 4 of 5

When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:

Correct Answer: B

Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.

Question 5 of 5

The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?

Correct Answer: C

Rationale: Alendronate should be taken with water only to ensure proper absorption and minimize esophageal irritation.

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