The nurse is evaluating a group of clients for ref

Question 1 of 5

The nurse is evaluating a group of clients for referral to a home health agency. Each of the clients is on the Medicare program. Which client is most likely to qualify for home health services?

A. The postoperative client needing reevaluated by the physician six weeks postoperatively B. The client having a moderate-sized stage III pressure ulcer requiring daily dressing changes C. The bedridden client whose physician has prescribed oral antibiotic therapy for two weeks D. The client having large stage I pressure ulcer

Correct Answer: B

Rationale: Home care is indicated for clients for whom travel to the healthcare provider would be impossible or quite difficult. A large stage III pressure ulcer would be painful during travel, and daily dressing changes are ideally completed at home.

Question 2 of 5

While providing care to the parents of a baby boy who has the chromosomal makeup of XXY, which of the following should be included in the teaching plan?

A. The boy will have an enlarged penis and scrotum. B. The boy will be at increased risk for the development of testicular cancer. C. The child will be sterile. D. The child might have altered development of secondary sex characteristics.

Correct Answer: D

Rationale: XXY (Klinefelter syndrome) may alter secondary sexual characteristics due to genetic mutations. Enlarged genitals, cancer risk, and sterility are not consistently supported.

Question 3 of 5

A client has been diagnosed with latent syphilis. During the counseling session, the client asks about transmitting the disease to his spouse. What information should be provided to the client?

A. You will need to abstain from sexual relations until treatment is completed.' B. You will need to wear a condom.' C. At this late stage, the disease is contained to only you.' D. At this stage of the disease, transmission is by contact with blood.'

Correct Answer: D

Rationale: In latent syphilis, transmission occurs via blood contact, not sexual contact, distinguishing it from earlier stages.

Question 4 of 5

A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for pressure ulcer development?

A. A 44-year-old prescribed IV antibiotics for pneumonia B. A 26-year-old who is bedridden with a fractured leg C. A 65-year-old with hemi-paralysis and incontinence D. A 78-year-old requiring assistance to ambulate with a walker

Correct Answer: C

Rationale: Being immobile and incontinent are two significant risk factors for the development of pressure ulcers, making the 65-year-old at highest risk.

Question 5 of 5

Which client wound is paired with the appropriate treatment?

A. Client with a left heel ulcer with slight necrosis - Whirlpool treatments B. Client with an eschar-covered sacral ulcer - Surgical debridement C. Client with a sunburn and erythema - Soaking in warm water for 20 minutes D. Client with urticaria - Wet-to-dry dressing changes every 6 hours

Correct Answer: A

Rationale: Whirlpool treatment can gently remove necrosis from a heel ulcer, making it an appropriate pairing.

The nurse is evaluating a group of clients for referral to a home health agency. Each of the clients is on the Medicare program. Which client is most likely to qualify for home health services?

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