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Questions 148

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Question 1 of 5

While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

Correct Answer: A

Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.

Question 2 of 5

A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order

Correct Answer: B

Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.

Question 3 of 5

Which is true regarding the administration of antacids?

Correct Answer: C

Rationale: Antacids can interfere with the absorption of other medications, so they should be given separately.

Question 4 of 5

The nurse is assessing the integumentary system of a dark-skinned individual. Which area would be the most likely to show a skin cancer lesion?

Correct Answer: D

Rationale: In dark-skinned individuals, skin cancer lesions (e.g., melanoma) are more likely on less pigmented areas like the palms, where changes are more visible.

Question 5 of 5

A home health nurse has several elderly clients in her case load. Which of the following clients is most likely to be a victim of elder abuse?

Correct Answer: A

Rationale: Clients with Alzheimer's disease are at higher risk for elder abuse due to cognitive impairment, dependency, and potential behavioral challenges, which can strain caregivers.

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