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Questions 149

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Extract:


Question 1 of 5

While interviewing a client who abuses alcohol, the nurse learns that the client has experienced 'blackouts.' The wife asks what this means. The best response at this time is:

Correct Answer: A

Rationale: Blackouts in alcohol abuse refer to short-term memory amnesia, where the client cannot recall events during intoxication despite appearing conscious.

Question 2 of 5

A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT

Correct Answer: C

Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.

Question 3 of 5

The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?

Correct Answer: C

Rationale: Daily measurement of abdominal girth is the most sensitive method to detect early ascites by tracking subtle increases in abdominal size.

Question 4 of 5

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.

Question 5 of 5

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?

Correct Answer: B

Rationale: A barium enema is contraindicated in acute diverticulitis due to the risk of perforation and peritonitis.

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