题目内容

During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of

A. somatic delusions.
B. waxy flexibility.
C. neologisms.
D. nihilistic delusions.

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During a client's chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care

A. Instruct the client to consume plenty of raw fruits and vegetables.
B. Take rectal temperatures for greater accuracy.
C. Tell the client to avoid crowds and infected individuals.
D. Ask friends and relatives not to visit during the course of chemotherapy.

The nurse caring for a 3-day-old neonate notices that he looks slightly jaundiced. Although not a normal finding, it's an expected finding of physiologic jaundice and is caused by which of the following

A. Poor clotting mechanism.
B. High hemoglobin (Hb) levels between 14 and 20 g/dL per 100 mL of blood.
C. Persistent fetal circulation.
D. Large, immature liver.

The nurse is teaching a client recently diagnosed with myasthenia gravis. The nurse should teach the client that myasthenia gravis is caused by

A. genetic dysfunction.
B. upper and lower motor neuron lesions.
C. decreased conduction of impulses in an upper motor neuron lesion.
D. a lower motor neuron lesion.

Which of the following is not a contributing factor to unstable blood sugars in the neonate

A. Prematurity.
B. Respiratory distress.
C. Postdated infant.
D. Cesarean delivery.

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