A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?

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Question 1 of 5

A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?

Correct Answer: A

Rationale: Rapid weight gain signals fluid retention, a worsening sign in CHF.

Question 2 of 5

The nurse is performing a physical assessment on a client with insulin dependent diabetes mellitus. Which client finding calls for immediate nursing action?

Correct Answer: A

Rationale: Diaphoresis and shakiness indicate hypoglycemia, requiring urgent intervention.

Question 3 of 5

The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?

Correct Answer: C

Rationale: DVT causes localized swelling from venous obstruction.

Question 4 of 5

A home health nurse is at the home of a client with diabetes and arthritis. The client has difficulty drawing up insulin. It would be most appropriate for the nurse to refer the client to

Correct Answer: B

Rationale: A PT can address arthritis-related motor issues for insulin administration.

Question 5 of 5

A 19 year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client is using the mechanism of 'suppression'?

Correct Answer: B

Rationale: Suppression is consciously avoiding discussion, unlike repression .

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