Questions and Answers with Excellent
Rationale
,Q: An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the
client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for
which condition?
Ans: Pulmonary embolism
Q: which information should the nurse obtain when performing an initial assessment of a client
who presents to the emergency department with a painful ankle injury? (select all that apply)
Ans: Quality of the pain Signs
of inflammation Ankle range
of motion
Visible deformities of the joint
Q: Which description of pain is consistent with a diagnosis of rheumatoid arthritis?
Ans: Joint pain is worse in the morning and involves symmetric joints
Q: Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)?
Ans: Hoarseness
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,Q: A client presents with chronic venous insufficiency. Which assessment finding should the
nurse anticipate?
Ans: Bilateral lower leg stasis dermatitis
Q: A client has been hospitalized with a femur fracture and is being treated with traction. which
action by the nurse is the priority when caring for this client?
Ans: Assess neurovascular status
Q: Which statement made by a client with chronic pancreatitis indicates that further education
is needed?
Ans: I will cut back on smoking cigarettes daily
Q: The nurse is teaching a female client who uses a contraceptive diaphragm about reducing
the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all
that apply)
Ans: Do not leave the diaphragm in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
Q: A male client who smokes two packs of cigarettes a day states he understands that smoking
cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants
to know if other
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