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NEW QUESTION 45
A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety when he is in darkness. It has altered his lifestyle because he is unable to go to a movie theater, concert, and other events that may require absence of light. The client is seeking assistance because he is no longer able to socialize with friends due to his phobia. The psychologist working with him is using desensitization. He has asked the nursing staff to assist the client in muscle relaxation techniques. What result would indicate client education has been successful?

• A. He enters a movie theater, sits in his chair, and replaces anxiety with relaxation as the theater darkens.
• B. He states that he no longer fears dark places.
• C. He takes a part-time job as a photographic assistant. His job necessitates his working in a darkroom.
• D. He enters a concert, but as the lights dim, he does not experience anxiety.

Answer: A

Explanation:
(A) This situation provides specific evidence that the client is able to integrate muscle relaxation technique into his lifestyle to alleviate anxiety. (B) The client may not experience anxiety at the concert, but there is no evidence regarding the technique that he used to alleviate anxiety. (C) The client may state he no longer experiences anxiety, but there is no evidence demonstrating this. He may be denying anxiety to discontinue therapy
prematurely. (D) Does he experience anxiety in the darkroom? He may have taken this job
to force himself to deal with the phobia directly.

NEW QUESTION 46
A client is admitted to the labor unit. On vaginal examination, the presenting part in a cephalic presentation was at station plus two. Station 12 means that the:

• A. Presenting part is 2 cm below the level of the ischial spines
• B. Presenting part is 2 cm above the level of the ischial spines
• C. Biparietal diameter is at the level of the ischial spines
• D. Biparietal diameter is 5 cm above the ischial spines

Answer: A

Explanation:
(A) Station is the relationship of the presenting part to an imaginary line drawn between the
ischial spines. If the presenting part is above the ischial spines, the station is negative. (B) When the biparietal diameter is at the level of the ischial spines, the presenting part is generally at a +4 or +5 station. (C) Station is the relationship of the presenting part to an imaginary line drawn between the ischial spines. If the presenting part is below the ischial spines, the station is positive. Thus, 2 cm below the ischial spines is the station +2. (D) When the biparietal diameter is above the ischial spines by 5 cm, the presenting part is usually engaged or at station 0.

NEW QUESTION 47
A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?

• A. 30 µ g/mL
• B. 4 µ g/mL
• C. 25 µ g/mL
• D. 14 µ g/mL

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) The therapeutic blood level range of theophylline is 10-20 mg/mL. Therapeutic drug monitoring determines effective drug dosages and prevents toxicity. (B, D) This value is a toxic level of the drug. (C) This value is a nontherapeutic level of the drug.

NEW QUESTION 48
When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

• A. Anemia and vomiting
• B. Hypothermia and azotemia
• C. Polyuria and polydipsia
• D. Irritability relieved by feeding formula

Answer: C

Explanation:
Section: Questions Set A
Explanation:
(A) Anemia and vomiting are not cardinal signs of diabetes insipidus. (B) Polyuria and polydipsia are the cardinal signs of diabetes insipidus. (C) Irritability relieved by feeding water, not formula, is a common sign, but not the cardinal sign, of diabetes insipidus. (D) Hypothermia and azotemia are signs, but not cardinal signs, of diabetes insipidus.

NEW QUESTION 49
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