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1. A nurse is closely monitoring a client who has recently been diagnosed with an abdominal
aortic aneurysm. What assessment finding would signal an impending rupture of the client's
aneurysm?
Sudden increase in blood pressure and a decrease in heart rate
New onset of hemoptysis
Sudden onset of severe back or abdominal pain
Cessation of pulsating in an aneurysm that has previously been pulsating visibly
2. A client with a vitamin C deficiency is advised to increase their intake of fruits and vegetables. If
they dislike citrus fruits, which alternative food high in vitamin C could the nurse recommend?
Eggs
Rice
Kiwifruit
Apples
3. What should a nurse do if a client expresses intentions to harm someone after discharge
from a mental health facility?
Allow the client to leave as planned.
Provide the client with a list of community resources.
Prevent the client from leaving the facility.
Encourage the client to talk about their feelings.
,4. If a nurse observes a parent incorrectly placing their newborn in a car seat without head
support, what should the nurse do to ensure the parent's understanding of proper car seat
use?
The nurse should advise the parent to switch to a booster seat immediately.
The nurse should suggest using a different car seat brand.
The nurse should ignore the situation as it is not a critical issue.
The nurse should provide education on the importance of head support and
demonstrate the rolled towel method.
5. If a client with peptic ulcer disease reports persistent abdominal pain despite following dietary
recommendations, what should the nurse's next step be?
Schedule a follow-up appointment in a month.
Refer the client to a dietitian.
Assess the client for potential complications.
Reinforce dietary recommendations again.
6. Why is it important for a client recovering from a myocardial infarction to receive education
from a respiratory therapist?
A respiratory therapist focuses solely on medication management for heart conditions.
A respiratory therapist can provide specialized guidance on breathing exercises
that enhance lung function and recovery.
A respiratory therapist is responsible for monitoring heart rhythms during
recovery.
A respiratory therapist only assists patients with chronic lung diseases.
, 7. What type of specialist should a nurse refer a client to for assistance with breathing
exercises after a myocardial infarction?
Dietitian for nutritional counseling
Occupational therapist for daily living skills
Respiratory therapist for breathing exercises
Physical therapist for mobility training
8. Why is maintaining continuity of staff members important in the care of a client with
anorexia nervosa?
It allows for varied treatment approaches.
It fosters a trusting relationship and consistent care.
It minimizes the need for patient education.
It ensures that all staff members have the same qualifications.
9. Describe the significance of recognizing symptoms of a thoracic aortic aneurysm
rupture in nursing practice.
The symptoms of a thoracic aortic aneurysm rupture are not relevant to nursing care.
Recognizing symptoms of a thoracic aortic aneurysm rupture is crucial for timely
intervention and preventing life-threatening complications.
Symptoms of a thoracic aortic aneurysm rupture are often mild and do not require
immediate action.
Nurses should only focus on the patient's history and ignore current symptoms.