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Questions 148

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Question 1 of 5

Which statement by the client regarding sickle cell disease indicates a need for further teaching?

Correct Answer: B

Rationale: Alcohol, including red wine, can cause dehydration and increase the risk of sickle cell crisis, so it should be avoided. Other statements are correct.

Question 2 of 5

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

Correct Answer: B

Rationale: Echolalia in schizophrenia involves repeating words or phrases spoken by others, reflecting impaired communication processing.

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

A mother brings her two-year-old boy to the pediatrician’s office. Which of the following symptoms would suggest to the nurse that the child has strabismus?

Correct Answer: C

Rationale: visual axes are not parallel so the brain receives two images

Question 5 of 5

Upon admission to the hospital, a client reports having 'the worst headache I've ever had.' The nurse should give the highest priority to:

Correct Answer: C

Rationale: A sudden, severe headache may indicate a serious condition like subarachnoid hemorrhage. Neuro checks are the priority to assess for neurological changes.

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