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Questions 148

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Question 1 of 5

Which assessment finding in a client with COPD indicates to the nurse that the respiratory problem is chronic?

Correct Answer: C

Rationale: Clubbing of fingers is a sign of chronic hypoxia, indicative of long-standing COPD, unlike wheezing or cough, which can occur in acute or chronic stages.

Question 2 of 5

Which symptom is not associated with glaucoma?

Correct Answer: A

Rationale: Veil-like loss of vision is not typical of glaucoma; foggy vision, halos, and eye pain are common symptoms.

Question 3 of 5

The nurse is evaluating the intake and output of a client for the first 12 hours following an abdominal cholecystectomy. Which finding should be reported to the physician?

Correct Answer: D

Rationale: Absence of stool post-cholecystectomy may indicate a complication like ileus or obstruction, requiring physician evaluation.

Question 4 of 5

The nurse is caring for a client with a cerebrovascular accident (CVA) who is complaining of being nauseated and is requesting an emesis basin. Which action would the nurse take first?

Correct Answer: C

Rationale: Turning the client to one side prevents aspiration, a risk in CVA patients with nausea due to impaired swallowing or consciousness. This is the priority before other actions.

Question 5 of 5

The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

Correct Answer: D

Rationale: A ruptured ectopic pregnancy typically causes sudden, severe lower quadrant pain due to internal bleeding.

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