Nokea
Which characteristic is most likely to be present in persons who abuse others?
- A. Financial security
- B. Positive self-image
- C. Substance abuse
- D. Physical illness
Correct Answer: C
Rationale: Substance abuse is strongly associated with abusive behavior due to impaired judgment and aggression. Financial security, self-image, or illness are less predictive.
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An adult is admitted with probable pulmonary tuberculosis. Which findings would the nurse expect to be present in this client? Select all that apply.
- A. High fevers in the morning
- B. Cough
- C. Bloody sputum
- D. Night sweats
- E. Weight gain
- F. Malaise
Correct Answer: B,C,D,F
Rationale: Tuberculosis causes chronic cough, hemoptysis (bloody sputum), night sweats, and malaise due to systemic infection. Fevers are typically low-grade and nocturnal, and weight loss, not gain, is common.
A woman who recently had a simple mastectomy is about to be discharged. She seems very concerned about such things as where to find the best prosthesis, suitable underwear, and swimsuits, and adjusting to life with only one breast. Which resource is appropriate for the nurse to recommend?
- A. A psychologist or psychiatrist
- B. Reach to Recovery
- C. Pastoral counseling
- D. Her physician
Correct Answer: B
Rationale: Reach to Recovery offers peer support and resources for mastectomy patients, addressing prosthesis and lifestyle adjustments. Other options are less specific.
The nurse is caring for a client with a history of rheumatoid arthritis.
- A. Which symptom is expected in a client with rheumatoid arthritis?
- B. Morning stiffness lasting over 30 minutes.
- C. Pain that worsens with activity.
- D. Asymmetrical joint involvement.
- E. Rapid onset of symptoms.
Correct Answer: A
Rationale: Morning stiffness lasting over 30 minutes is a hallmark of rheumatoid arthritis due to joint inflammation. Pain improves with activity, joints are symmetrically affected, and onset is gradual.
The nurse is teaching a client with a new diagnosis of chronic kidney disease about sevelamer (Renagel). Which of the following statements by the client indicates a need for further teaching?
- A. I should take this medication with meals.
- B. I should report constipation to my doctor.
- C. I should avoid taking this with my calcium supplement.
- D. I should stop this medication if my phosphate levels are normal.
Correct Answer: D
Rationale: Stopping sevelamer when phosphate levels are normal is incorrect, as chronic kidney disease requires ongoing phosphate control to prevent complications. Options A, B, and C are correct: taking with meals binds phosphate, constipation is a side effect, and calcium supplements interfere with absorption.
A client has developed a low inTest inal obstruction. The nurse would anticipate which of the following findings?
- A. Nausea, vomiting, abdominal distention.
- B. Explosive, irritating diarrhea.
- C. Abdominal tenderness with rectal bleeding.
- D. Midepigastric discomfort, tarry stool.
Correct Answer: A
Rationale: there is distention above the level of obstruction and initially hyperactive bowel sounds; would be no stool, as motility distal to (below) the obstruction would cease