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Questions 148

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Question 1 of 5

The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:

Correct Answer: D

Rationale: Stage III Alzheimer's is characterized by severe cognitive decline, including inability to communicate effectively, often limited to simple phrases or gestures.

Question 2 of 5

Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?

Correct Answer: B

Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.

Question 3 of 5

A public health nurse works with a specific population. Many of the clients use herbal remedies at home. The nurse would express concern if which of the following clients reported using herbal remedies?

Correct Answer: E

Rationale: Herbal remedies may pose risks in children (
A) due to dosing concerns, but none of the conditions listed raise specific red flags. The question may lack context for a definitive answer.

Question 4 of 5

The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

Correct Answer: D

Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.

Question 5 of 5

A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

Correct Answer: C

Rationale: A Jackson-Pratt drain removes fluid from the surgical site, preventing seroma or hematoma formation.

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