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A client with a history of rheumatoid arthritis is prescribed leflunomide (Arava). The nurse should monitor the client for which of the following side effects?
- A. Liver toxicity.
- B. Hypotension.
- C. Weight loss.
- D. Hyperglycemia.
Correct Answer: A
Rationale: Leflunomide can cause liver toxicity, requiring regular monitoring of liver function tests.
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A diabetic primigravid client at 38 weeks' gestation asks the nurse why she had a fetal acoustic stimulation during her last nonstress test. Which of the following should the nurse include as the rationale for this test?
- A. To listen to the fetal heart rate
- B. To startle and awaken the fetus
- C. To stimulate mild contractions
- D. To confirm amniotic fluid amount
Correct Answer: B
Rationale: Fetal acoustic stimulation is used to startle and awaken the fetus, prompting movement to assess fetal heart rate reactivity during a nonstress test. It does not directly measure heart rate, stimulate contractions, or assess amniotic fluid.
The sudden onset of which of the following indicates a potentially serious complication for the client receiving an I.V. infusion?
- A. Noisy respirations.
- B. Pupillary constriction.
- C. Halitosis.
- D. Moist skin.
Correct Answer: A
Rationale: Noisy respirations may indicate fluid overload or pulmonary edema, a serious I.V. infusion complication requiring immediate intervention.
You are caring for a group of clients who are adversely affected with phobias. Which form of group therapy will you most likely employ to treat these clients?
- A. Cognitive psychotherapy
- B. Behavioral psychotherapy
- C. Cognitive behavioral psychotherapy
- D. Psychoanalysis
Correct Answer: C
Rationale: Cognitive behavioral psychotherapy (CBT) is the most effective treatment for phobias, as it combines cognitive restructuring with behavioral techniques like exposure therapy to address irrational fears.
The nurse is caring for a client with a history of hypothyroidism who is prescribed levothyroxine (Synthroid). Which of the following symptoms indicates that the dose may be too high?
- A. Weight gain.
- B. Tachycardia.
- C. Cold intolerance.
- D. Fatigue.
Correct Answer: B
Rationale: Tachycardia is a sign of hyperthyroidism, indicating a possible overdose of levothyroxine.
A client is in the advanced stages of osteoarthritis. Which of the following best describes the pain that occurs in the advanced stage of the disease?
- A. Pain occurs with minimal activity.
- B. Crepitation develops and intensifies pain.
- C. Joints are symmetrically affected by pain.
- D. Fatigue accompanies pain.
Correct Answer: A
Rationale: In advanced osteoarthritis, pain occurs with minimal activity due to significant joint damage and inflammation.