1. Right Answer: B
Explanation: Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency.Physiological Adaptation
2. Right Answer: B
Explanation: Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice 1 is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and dietary modifications can also be helpful. Physiological Adaptation
3. Right Answer: D
Explanation: A urologist consult is appropriate for a client with visible blood at the urethral meatus and suspected trauma.Choices 1 and 2 are contraindicated. A urinalysis might be ordered by the physician, but the question does not provide enough information to make Choice 3 the correct answer. Physiological Adaptation
4. Right Answer: A
Explanation: The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production.Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the effectiveness of EPO. Choice 2 is not necessary for RBC production and can increase uremia. Choices 3 and 4 are not necessary for RBC production. Physiological Adaptation
5. Right Answer: D
Explanation: Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination, education, socioeconomic status, or class. Ninety- five percent of domestic abuse cases involve male perpetrators and female victims. Psychosocial Integrity
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