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Questions 149

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Question 1 of 5

Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?

Correct Answer: D

Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.

Question 2 of 5

The nurse is assessing an adolescent male diagnosed with gonorrhea. Which specific signs and symptoms should the nurse associate with the gonorrheal infection? Select all that apply.

Correct Answer: B,C

Rationale: Gonorrhea typically causes purulent urethral discharge and dysuria/frequency in males, not lesions or rashes.

Question 3 of 5

The nurse is reviewing the serum laboratory results for the 10-year-old diagnosed with chicken pox. Which value should be most concerning to the nurse? Place an X next to the value that is most concerning.

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Correct Answer: B

Rationale: This question requires the nurse to identify abnormal lab values, such as elevated liver enzymes (e.g., AST/ALT) or thrombocytopenia, which could indicate complications like hepatitis or bleeding risk in chickenpox.

Question 4 of 5

Which nursing action would help to reduce stress and to aid an obsessive-compulsive client in using a less maladaptive means of handling stress?

Correct Answer: D

Rationale: Offering activities with achievable success builds confidence, reducing reliance on compulsive rituals to manage stress.

Question 5 of 5

The HCP recommends tamoxifen for the female client because she is at high risk for developing breast cancer. The client asks the nurse to explain how this drug will help avoid developing breast cancer. Which information about tamoxifen should be the basis for the nurse's response?

Correct Answer: D

Rationale: A. Tamoxifen does not have anti-inflammatory properties. B. Tamoxifen is a hormonal rather than a chemotherapeutic agent. C. A major side effect of tamoxifen is that it increases the risk of developing endometrial cancer. D. Tamoxifen (Soltamox) blocks estrogen receptors on tumor cells, and thus the cell growth declines and the tumor regresses.

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