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Extract:

Mrs. A is a 40-year-old woman who reports menstrual irregularities and believes she is experiencing an early menopause. She reports feeling fatigue and restless at times. Physical findings reveal a thin woman with fine hair, moist, warm skin, and a goiter with bruit present. Heart rate is 110; BP 140/80.


Question 1 of 5

These findings are consistent with:

Correct Answer: B

Rationale: Symptoms and findings like goiter, tachycardia, and moist skin indicate Grave's disease (hyperthyroidism).

Extract:


Question 2 of 5

An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?

Correct Answer: C

Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.

Question 3 of 5

A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?

Correct Answer: A

Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.

Question 4 of 5

A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Daily weight tracks fluid status, diuretics reduce overload, fluid restriction prevents exacerbation, and activity improves cardiac function. High-sodium diets worsen heart failure.

Question 5 of 5

The nurse is assessing an elderly client. When performing the assessment, the nurse should consider that one normal age-related change is:

Correct Answer: C

Rationale: Degenerative changes can lead to decreased reflexes, which is a normal result of aging. Cloudy vision, incontinence, and tremors may be signs and symptoms of underlying pathology and shouldn't be considered normal results of aging.

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