Nokea
The nurse is assessing a client with a suspected deep vein thrombosis (DVT). Which finding supports this diagnosis?
- A. Positive Homan's sign.
- B. Unilateral leg swelling.
- C. Bilateral calf pain.
- D. Redness and warmth in the affected leg.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
- A. Blood pressure of 160/90 mm Hg.
- B. Blood glucose level of 180 mg/dL.
- C. Difficulty speaking.
- D. Temperature of 99.8°F (37.7°C).
Correct Answer: C
Rationale: Difficulty speaking is a classic symptom of stroke, suggesting a potential blockage of blood flow to the brain. Prompt intervention is crucial to minimize brain damage. Elevated blood pressure (Choice A) may need management but is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8°F (37.7°C) (Choice D) is within normal range and not a critical finding in this context.
What information should the nurse provide a client who has undergone cryosurgery for stage 1A cervical cancer?
- A. Expect heavy, watery vaginal discharge for 3 to 6 weeks.
- B. Use a tampon instead of a sanitary napkin.
- C. Report any severe cramping immediately.
- D. Avoid sexual intercourse for 3 to 6 weeks.
Correct Answer: D
Rationale: After cryosurgery for stage 1A cervical cancer, clients should avoid sexual intercourse for 3 to 6 weeks to reduce the risk of infection. Heavy, watery vaginal discharge is expected but not the focus of post-procedure instructions. Using tampons is contraindicated as they can introduce bacteria into the healing cervix. While reporting severe cramping is important, avoiding sexual intercourse is the priority to prevent complications.
The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?
- A. note in the student records that the second dose of the MMR vaccine should be administered prior to entering first grade
- B. send notices home with the children on the first day of class advising that MMR vaccine series must be completed
- C. contact kindergarten parents to remind them that the second dose of MMR is due at the start of the school year
- D. speak at the next parent teacher association meeting to teach parents the benefits of immunizing their children
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning a community health fair to promote cancer awareness. Which activity should be included to best engage participants?
- A. free cancer screenings
- B. lectures on cancer prevention
- C. distribution of educational materials
- D. testimonials from cancer survivors
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?
- A. lectures by mental health professionals
- B. interactive workshops on stress management
- C. distribution of mental health resources
- D. screenings for depression and anxiety
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.