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Questions 148

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Question 1 of 5

Which of the following signs and symptoms would a nurse expect when examining a 22-year-old female with secondary syphilis?

Correct Answer: C

Rationale: Secondary syphilis presents with a non-itchy rash, often on the palms and soles. Chancres are primary syphilis, and skin tumors are tertiary syphilis.

Question 2 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg three times daily. The nurse should instruct the client to report which of the following side effects to the physician?

Correct Answer: B

Rationale: gingival hyperplasia and rash are significant side effects of phenytoin that require medical attention

Question 3 of 5

The nurse is caring for a newborn who is on strict intake and output. The used diaper weighs $73.5 \mathrm{gm}$. The diaper's dry weight was $62 \mathrm{gm}$. The newborn's urine output is:

Correct Answer: B

Rationale: Urine output is calculated by subtracting dry diaper weight from wet diaper weight: 73.5 gm - 62 gm = 11.5 ml (1 gm = 1 ml for urine).

Question 4 of 5

A 19-year-old female comes into the women's clinic for an STD test. The nurse explains all of the following confirmed cases of STDs must be reported to the Centers for Disease Control (CDC) EXCEPT

Correct Answer: A

Rationale: Chlamydia, gonorrhea, and hepatitis B are reportable to the CDC. Genital herpes is not nationally reportable, though local regulations may vary.

Question 5 of 5

The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:

Correct Answer: C

Rationale: Lactulose reduces ammonia levels to prevent hepatic encephalopathy.

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