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Questions 157

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Question 1 of 5

Which comment by the client diagnosed with rule-out Guillain-Barré (GB) syndrome is most significant when completing the admission interview?

Correct Answer: A

Rationale: Recent gastroenteritis (e.g., Campylobacter) is a known trigger for Guillain-Barré, making it significant.

Question 2 of 5

The client is admitted with rule-out leukemia. Which assessment data support the diagnosis of leukemia?

Correct Answer: C

Rationale: Petechiae indicate thrombocytopenia, common in leukemia due to bone marrow suppression.

Question 3 of 5

The nurse at the Family Planning Clinic is preparing a discussion for students attending a community college about contraception and methods to prevent pregnancy. Which information should the nurse include in the presentation?

Correct Answer: A

Rationale: Condoms prevent STDs, a key public health message for students. Annual exams are recommended but secondary, hormonal delivery methods are specific, and not all contraception requires prescriptions (e.g., condoms).

Question 4 of 5

The nurse is assessing the client with a pneumothorax who has a closed-chest drainage system. Which data indicate the client's condition is stable?

Correct Answer: A

Rationale: Fluctuation in the water-seal compartment indicates a patent system, a sign of stability in pneumothorax.

Question 5 of 5

Which signs/symptoms should the nurse expect to assess in the client diagnosed with Addison's disease?

Correct Answer: A

Rationale: Addison’s causes cortisol deficiency, leading to hypotension and bronze pigmentation, classic symptoms.

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