[Feb 26, 2024] NCLEX NCLEX-RN Exam Dumps Files, Q1/566: A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,

Join the discussion

Question 1/566

A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,
"Nobody cares about the clients." The nurse's most effective response would be:

A. "How can you say that I don't care? We just met."

B. "What makes you think the nurses don't care?"

C. "You will feel differently about us in a few days."

D. "You seem angry. Tell me more about how you feel."

Add Comments

Other Question (566q): Q1. A client hospitalized with a medical diagnosis of adjustment disorder versus personality d...; Q2. A client is experiencing visual problems at school. She has complained of difficulty seein...; Q3. The serial sevens test is often used to determine delirium and dementia. This test aids in...; Q4. A male client received a heart-lung transplant 1 month ago at a local transplant center. W...; Q5. The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may...; Q6. A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogr...; Q7. A client presented herself to the mental health center, describing the following symptoms:...; Q8. A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing...; Q9. The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following ...; Q10. A primigravida is at term. The nurse can recognize the second stage of labor by the client...; Q11. Which of the following should the nurse anticipate receiving as an as-needed order for a p...; Q12. The nurse is teaching a child's parents how to protect the child from lead poisoning. The ...; Q13. A pregnant woman at 36 weeks' gestation is followed for PIH and develops proteinuria. To i...; Q14. A hyperactive client is experiencing flight of ideas. The most therapeutic activity for hi...; Q15. A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives mag...; Q16. A 14-year-old teenager is demonstrating behavior indicative of an obsessive-compulsive dis...; Q17. A couple is experiencing difficulties conceiving a baby. The nurse explains basal body tem...; Q18. The mother of a client is apprehensive about taking home her 2 year old who was diagnosed ...; Q19. The most important reason to closely assess circumferential burns at least every hour is t...; Q20. A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun...; Q21. A couple is planning the conception of their first child. The wife, whose normal menstrual...; Q22. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...; Q23. A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a...; Q24. A client's prenatal screening indicated that she has no immunity to rubella. She is now 10...; Q25. Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays...; Q26. A client has chronic obstructive pulmonary disease. She is slowly losing weight, and her d...; Q27. A female client at 36 weeks' gestation is experiencing preterm labor. Her physician has pr...; Q28. The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid ly...; Q29. A 32-year-old mother of two was brought to the hospital by her husband. He reported that h...; Q30. A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with seve...; Q31. A female client comes for her second prenatal visit. The nurse-midwife tells her, "Your bl...; Q32. A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who rep...; Q33. A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve t...; Q34. A 32-year-old female client is being treated for Guillain- Barré syndrome. She complains o...; Q35. A 33-year-old client was brought into the emergency room unconscious, and it is determined...; Q36. Respiratory function is altered in a 16-year-old asthmatic. Which of the following is the ...; Q37. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...; Q38. The therapeutic blood-level range for lithium is:...; Q39. A 20-year-old female client delivers a stillborn infant. Following the delivery, an approp...; Q40. A client was admitted to the hospital after falling in her home. At the time of admission,...; Q41. A client's wife is concerned over his behavior in recent months. He has been diagnosed wit...; Q42. A mother came to the pediatric clinic with her 17- month-old child. The mother would like ...; Q43. Which of the following would differentiate acute from chronic respiratory acidosis in the ...; Q44. The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse...; Q45. After several days, an IDDM client's serum glucose stabilizes, and the registered nurse co...; Q46. A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6...; Q47. Parents of young children often need anticipatory guidance from the nurse. Parents may hav...; Q48. The 4th of July holiday comes while a client is in the hospital being treated for schizoph...; Q49. A male client is experiencing auditory hallucinations. His nurse enters the room and he te...; Q50. Which of the following nursing orders should be included in the plan of care for a client ...; Q51. A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa ...; Q52. The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as...; Q53. Prior to administering digoxin to a client with congestive heart failure, the nurse needs ...; Q54. A child receiving chemotherapeutic drugs experiences a loss of appetite directly related t...; Q55. Three hours postoperatively, a 27-year-old client complains of right leg pain after knee r...; Q56. A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checku...; Q57. A six-month-old infant has been admitted to the emergency room with febrile seizures. In t...; Q58. A 15-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia. Whi...; Q59. A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheteri...; Q60. A 26-year-old male client is brought by his wife to the emergency department (ED) unconsci...; Q61. A pregnant client experiences a precipitous delivery. The nursing action during a precipit...; Q62. A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the...; Q63. Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclam...; Q64. A pregnant client during labor is irritable and feels the urge to vomit. The nurse should ...; Q65. The nurse assesses a client's monitor strip and finds the following: uterine contractions ...; Q66. A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses th...; Q67. Following her surgery, a 5-year-old child will return to the pediatric unit with a long-ar...; Q68. A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolati...; Q69. A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen fr...; Q70. A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best respon...; Q71. A young boy tells the nurse, "I don't like my Dad to kiss or hug my Mom. I love my Mom and...; Q72. A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had...; Q73. A client's physician has prescribed theophylline (Theo- Dur) to help control the bronchosp...; Q74. The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medicati...; Q75. A child with celiac disease is being discharged from the hospital. The mother demonstrates...; Q76. A 7-year-old girl has been diagnosed with juvenile arthritis and has been placed on daily ...; Q77. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingiv...; Q78. In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes...; Q79. A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the ...; Q80. A 25-year-old lawyer who is married with three young children works long hours in an effor...; Q81. In acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 wee...; Q82. A 40-year-old client is admitted to the coronary care unit with chest pain and shortness o...; Q83. A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he compla...; Q84. A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symp...; Q85. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...; Q86. The nurse provides a male client with diet teaching so that he can help prevent constipati...; Q87. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...; Q88. A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encoura...; Q89. The nurse is developing a plan of care for a client with an electrolyte imbalance and iden...; Q90. At 12 hours postvaginal delivery, a female client is without complications. Which of the f...; Q91. Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin)...; Q92. A client is dilated 8 cm and entering the transition phase of labor. Common behaviors of t...; Q93. The nurse would expect to include which of the following when planning the management of t...; Q94. A female client has a chest tube placed. It is accidentally pulled out of the intrapleural...; Q95. A client is being treated for congestive heart failure. His medical regimen consists of di...; Q96. A male client is admitted to the medical-surgical unit from the emergency room with a diag...; Q97. Two hours after the second injection of haloperidol, a client complains to the nurse of a ...; Q98. A husband asks if he can visit with his wife on her ECT treatment days and what to expect ...; Q99. A 23-year-old college student seeks medical attention at the college infirmary for complai...; Q100. A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is t...; Q101. A 6-year-old child is attending a pediatric clinic for a routine examination. What should ...; Q102. A dose of theophylline may need to be altered if a client with COPD:...; Q103. A female client decides on hemodialysis. She has an internal vascular access device placed...; Q104. A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives mag...; Q105. A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in ass...; Q106. A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Be...; Q107. A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor ...; Q108. A 24-year-old male client is admitted with a diagnosis of sickle cell anemia. The nurse di...; Q109. A 67-year-old client will be undergoing a coronary arteriography in the morning. Client te...; Q110. A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6...; Q111. A physician's order reads: Administer furosemide oral solution 0.5 mL stat. The furosemide...; Q112. A client at 6 months' gestation complains of tiredness and dizziness. Her hemoglobin level...; Q113. A client at 6 months' gestation complains of tiredness and dizziness. Her hemoglobin level...; Q114. A 55-year-old client is unconscious, and his physician has decided to begin tube feeding h...; Q115. A group of nursing students at a local preschool day care center are going to screen each ...; Q116. Due to his prolonged history of alcohol abuse, an alcoholic client will most likely have d...; Q117. The nurse is caring for a client who has had a tracheostomy for 7 years. The client is sta...; Q118. On admission to the postpartal unit, the nurse's assessment identifies the client's fundus...; Q119. The nurse would be concerned if a client exhibited which of the following symptoms during ...; Q120. A mother who is breast-feeding her newborn asks the RN, "How can I express milk from my br...; Q121. A client at 9 weeks' gestation comes for an initial prenatal visit. On assessment, the nur...; Q122. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...; Q123. While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vag...; Q124. A client's transfusion of packed red blood cells has been infusing for 2 hours. She is com...; Q125. Discharge teaching for the client who has a total gastrectomy should include which of the ...; Q126. For the past several months, an elderly female client with Alzheimer's disease has experie...; Q127. When assessing residual volume in tube feeding, the feeding should be delayed if the amoun...; Q128. A 40-year-old client has lived for 8 years with an abusive spouse. She married her husband...; Q129. A 70-year-old female client is admitted to the medical intensive care unit with a diagnosi...; Q130. One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, "It'...; Q131. MgSO4 blood levels are monitored and the nurse would be prepared to administer the followi...; Q132. The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid ly...; Q133. A client has just received an epidural block. She is laboring on her right side. The nurse...; Q134. After the fetal activity test (nonstress test) is completed, the RN is looking at the test...; Q135. A diagnosis of hepatitis C is confirmed by a male client's physician. The nurse should be ...; Q136. A client is medically cleared for ECT and is tentatively scheduled for six treatments over...; Q137. A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates ...; Q138. A client calls the prenatal clinic to schedule an appointment. She states she has missed t...; Q139. A female client decides on hemodialysis. She has an internal vascular access device placed...; Q140. A female client is concerned that she is in a "high-risk" group for the development of acq...; Q141. A 4-week-old infant is admitted to the emergency room in respiratory distress. Which of th...; Q142. A 48-hour-old male infant is ordered to have phototherapy. When his mother questions the n...; Q143. A baby is circumcised. Immediate postoperative care should include:...; Q144. A male client is experiencing extreme distress. He begins to pace up and down the corridor...; Q145. A baby who was diagnosed with pyloric stenosis has continued to have projectile vomiting. ...; Q146. Which of the following lab data is representative of a client with aplastic anemia?...; Q147. The mother of a 7-year-old mental health center client reports that the client has refused...; Q148. The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about ...; Q149. A mother called the physician's office to ask if it would help relieve her small daughter'...; Q150. Painless vaginal bleeding in the last trimester may be caused by:...; Q151. A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment,...; Q152. For the past several months, an elderly female client with Alzheimer's disease has experie...; Q153. A female client is concerned that she is in a "high-risk" group for the development of acq...; Q154. When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic...; Q155. A client is receiving peritoneal dialysis. He has been taught to warm the dialyzing fluid ...; Q156. A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based o...; Q157. In caring at home for a child who just ingested a caustic alkali, the nurse would immediat...; Q158. During the active phase of rheumatic fever, the nurse teaches parents of a child with acut...; Q159. Which of the following risk factors associated with breast cancer would a nurse consider m...; Q160. A 24-hours' postpartum client complains of discomfort at the episiotomy site. On assessmen...; Q161. A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. I...; Q162. Four days after admission for cirrhosis of the liver, the nurse observes the following whe...; Q163. As a nurse in the emergency room, you receive an outside call from an elderly woman who st...; Q164. A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has falle...; Q165. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of ora...; Q166. A client's prenatal screening indicated that she has no immunity to rubella. She is now 10...; Q167. After the RN is finished the initial assessment of a newborn baby and after the initial bo...; Q168. A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first ps...; Q169. Following a vaginal delivery, the postpartum nurse should observe for:...; Q170. A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate....; Q171. A postpartum client complains of rectal pressure and severe pain in her perineum; this may...; Q172. A client is pregnant with her second child. Her last menstrual period began on January 15....; Q173. A 68-year-old client developed acute respiratory distress syndrome while hospitalized for ...; Q174. Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:...; Q175. A 2-year-old boy is in the hospital outpatient department for observation after falling ou...; Q176. A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the followi...; Q177. A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febri...; Q178. The nurse explains perineal hygiene self-care postpartum to the client. She should be inst...; Q179. A psychiatric client has been stabilized and is to be discharged. The nurse will recognize...; Q180. A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased c...; Q181. Before giving methergine postpartum, the nurse should assess the client for:...; Q182. A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nu...; Q183. A 14-year-old teenager is demonstrating behavior indicative of an obsessive-compulsive dis...; Q184. The physician is preparing to induce labor on a 40-week multigravida. The nurse should ant...; Q185. Decreased pulmonary blood flow, right-to-left shunting, and deoxygenated blood reaching th...; Q186. A 70-year-old client is almost finished receiving her second unit of packed red blood cell...; Q187. Nursing interventions designed to decrease the risk of infection in a client with an indwe...; Q188. A 14-year-old client has a history of lying, stealing, and destruction of property. Person...; Q189. A 3-year-old child is admitted with a diagnosis of possible noncommunicating hydrocephalus...; Q190. A client is experiencing visual problems at school. She has complained of difficulty seein...; Q191. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...; Q192. A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, ...; Q193. The family member of a child scheduled for heart surgery states, "I just don't understand ...; Q194. A 14-year-old boy fell off his bike while "popping a wheelie" on the dirt trails. He has s...; Q195. A 47-year-old client has been admitted to the general surgery unit for bowel obstruction. ...; Q196. A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpa...; Q197. The physician orders medication for a client's unpleasant side effects from the haloperido...; Q198. A burn victim's immunization history is assessed by the nurse. Which immunization is of pr...; Q199. A client is having a vertical partial laryngectomy, and the nurse is planning his postoper...; Q200. A client has been taking lithium 300 mg po bid for the past two weeks. This morning her li...; Q201. The nurse will be alert to the most potentially lifethreatening side effect associated wit...; Q202. A behavioral modification program is recommended by the multidisciplinary team working wit...; Q203. Which of the following would have the physiological effect of decreasing intracranial pres...; Q204. The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupu...; Q205. A burn victim's immunization history is assessed by the nurse. Which immunization is of pr...; Q206. Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no ...; Q207. Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin)...; Q208. The physician recommends immediate hospital admission for a client with PIH. She says to t...; Q209. A 30-year-old client in the third trimester of her pregnancy asks the nurse for advice abo...; Q210. A client has been in labor for 10 hours. Her contractions have become hypoactive and slowe...; Q211. What is the appropriate nursing action for a child with increased intracranial pressure?...; Q212. A child becomes neutropenic and is placed on protective isolation. The purpose of protecti...; Q213. In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes...; Q214. A male client is started on IV anticoagulant therapy with heparin. Which of the following ...; Q215. A long-term goal for the nurse in planning care for a depressed, suicidal client would be ...; Q216. A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun...; Q217. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of ora...; Q218. A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Wh...; Q219. In evaluating the laboratory results of a client with severe pressure ulcers, the nurse fi...; Q220. The primary reason for sending a burn client home with a pressure garment, such as a Jobst...; Q221. A 47-year-old client has been admitted to the general surgery unit for bowel obstruction. ...; Q222. A client's renal calculi are identified as consisting of calcium phosphate. Which of the f...; Q223. Dietary planning is an essential part of the diabetic client's regimen. The American Diabe...; Q224. A 33-year-old client was brought into the emergency room unconscious, and it is determined...; Q225. A client is resting comfortably after delivering her first child. When assessing her pulse...; Q226. A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect...; Q227. When teaching a class of nursing students, the nurse asks why the embryonic period (weeks ...; Q228. The nurse assists a client with advanced emphysema to the bathroom. The client becomes ext...; Q229. A client is pleased about being pregnant, yet states, "It is really not the best time, but...; Q230. A 26-year-old client is in a treatment center for aprazolam (Xanax) abuse and continues to...; Q231. A female client who has chronic obstructive pulmonary disease (COPD) has presented in the ...; Q232. To prevent fungal infections of the mouth and throat, the nurse should teach clients on in...; Q233. The nurse practitioner determines that a client is approximately 9 weeks' gestation. Durin...; Q234. Pin care is a part of the care plan for a client who is in skeletal traction. When assessi...; Q235. A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to b...; Q236. Stat serum electrolytes ordered for a client in acute renal failure revealed a serum potas...; Q237. A couple is planning the conception of their first child. The wife, whose normal menstrual...; Q238. The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meal...; Q239. A client has received preoperative teaching for the vertical partial laryngectomy that he ...; Q240. The nurse is developing a plan of care for a client with an electrolyte imbalance and iden...; Q241. The nurse teaches a pregnant client that a high-risk symptom occurring at any time during ...; Q242. In admitting a client to the psychiatric unit, the nurse must explain the rules and regula...; Q243. A client has been taking lithium 300 mg po bid for the past two weeks. This morning her li...; Q244. Often children are monitored with pulse oximeter. The pulse oximeter measures the:...; Q245. The nurse assesses a client on the second postpartum day and finds a dark red discharge on...; Q246. During the assessment, the nurse observes a client scratching his skin. He has been admitt...; Q247. Which of the following should be included in discharge teaching for a client with hepatiti...; Q248. Which of the following symptoms might the nurse observe in a client with a lithium blood l...; Q249. A client is a victim of domestic violence. She is now receiving assistance at a shelter fo...; Q250. A client was admitted to the hospital after falling in her home. At the time of admission,...; Q251. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become i...; Q252. The nurse is in the hallway and one of the visitors faints. The nurse should:...; Q253. A male client had a right below-the-knee amputation 4 days ago. His incision is healing we...; Q254. A client is to have a coronary artery bypass graft performed in the morning using a saphen...; Q255. A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who rep...; Q256. A 48-year-old client is in the surgical intensive care unit after having had three-vessel ...; Q257. Which of the following procedures is necessary to establish a definitive diagnosis of brea...; Q258. One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lit...; Q259. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postop...; Q260. A client tells the nurse that he has been hearing voices that tell him to kill his girlfri...; Q261. When a client arrives on the labor and delivery unit, she informs the nurse that she has b...; Q262. A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. ...; Q263. A client has consented to have a central venous catheter placed. The best position in whic...; Q264. A 67-year-old man had a physical examination prior to beginning volunteer work at the hosp...; Q265. A 30-year-old client has been admitted to the psychiatric service with the diagnosis of sc...; Q266. A 42-year-old male client has been treated at an alcoholic rehabilitation center for physi...; Q267. Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of m...; Q268. A client suffering from schizophrenia has been taking chlorpromazine (Thorazine) for 6 mon...; Q269. A child has a nursing diagnosis of fluid volume excess related to compromised regulatory m...; Q270. A client has just received an epidural block. She is laboring on her right side. The nurse...; Q271. The nurse recognizes that a client with the diagnosis of cholecystitis and cholelithiasis ...; Q272. A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm an...; Q273. A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse inst...; Q274. The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's si...; Q275. A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 2...; Q276. A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begin...; Q277. Hematotympanum and otorrhea are associated with which of the following head injuries?...; Q278. A client has renal failure. Today's lab values indicate he has an elevated serum potassium...; Q279. The most commonly known vectors of Lyme disease are:...; Q280. A male client is being treated in the burn unit for thirddegree burns on his head, neck, a...; Q281. A client develops an intestinal obstruction postoperatively. A nasogastric tube is attache...; Q282. A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogr...; Q283. The most important goal in the care plan for a child who was hospitalized with an accident...; Q284. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingiv...; Q285. A newborn is admitted to the newborn nursery with tremors, apnea periods, and poor sucking...; Q286. One of the medications that is prescribed for a male client is furosemide (Lasix) 80 mg bi...; Q287. An 80-year-old widow is living with her son and daughter-in-law. The home health nurse has...; Q288. Degenerative disorders are attributed to many factors. As a nurse assigned to a convalesce...; Q289. A 24-year-old woman who is gravida 1 reports, "I can't take iron pills because they make m...; Q290. When caring for a postoperative cholecystectomy client, the nurse assesses patency and doc...; Q291. A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnan...; Q292. Goal setting for a client with Meniere's disease should include which of the following?...; Q293. A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had...; Q294. A 40-year-old client has been admitted to the hospital with severe substernal chest pain r...; Q295. A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clin...; Q296. A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive th...; Q297. Often children are monitored with pulse oximeter. The pulse oximeter measures the:...; Q298. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. ...; Q299. Home-care instructions for the child following a cardiac catheterization should include:...; Q300. A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in hi...; Q301. Which of the following should the nurse anticipate receiving as an as-needed order for a p...; Q302. Painless vaginal bleeding in the last trimester may be caused by:...; Q303. A client is taught to eat foods high in potassium. Which food choices would indicate that ...; Q304. A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a...; Q305. A client delivered a stillborn male at term. An appropriate action of the nurse would be t...; Q306. Which of the following activities would be most appropriate during occupational therapy fo...; Q307. Seven days ago, a 45-year-old female client had an ileostomy. She is self-sufficient and w...; Q308. A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in hi...; Q309. A client's behavior is annoying other clients on the unit. He is meddling with their belon...; Q310. A client confides to the nurse that he tasted poison in his evening meal. This would be an...; Q311. In client teaching, the nurse should emphasize that fetal damage occurs more frequently wi...; Q312. Clinical manifestations seen in left-sided rather than in right-sided heart failure are:...; Q313. The primary reason that an increase in heart rate (100 bpm) detrimental to the client with...; Q314. A 45-year-old client has a permanent colostomy. Which of the following foods should he avo...; Q315. A psychotic client who believes that he is God and rules all the universe is experiencing ...; Q316. A client is pregnant for the fourth time and has had three normal vaginal deliveries. She ...; Q317. Before giving methergine postpartum, the nurse should assess the client for:...; Q318. A young boy tells the nurse, "I don't like my Dad to kiss or hug my Mom. I love my Mom and...; Q319. A pregnant client continues to visit the clinic regularly during her pregnancy. During one...; Q320. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be...; Q321. A male client is admitted to the medical-surgical unit from the emergency room with a diag...; Q322. A pregnant client continues to visit the clinic regularly during her pregnancy. During one...; Q323. A 6-month-old infant has developmental delays. His weight falls below the 5th percentile w...; Q324. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoure...; Q325. A schizophrenic client has made sexual overtures toward her physician on numerous occasion...; Q326. A client's membranes have just ruptured spontaneously. Which of the following nursing acti...; Q327. A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gai...; Q328. The nurse has been assigned a client who delivered a 6-lb, 12-oz baby boy vaginally 40 min...; Q329. A client has been uncomfortable in crowds all her life. After the birth of her child, she ...; Q330. The physician prescribes amitriptyline (Elavil) for a client. What does the patient need t...; Q331. Which of the following physician's orders would the nurse question on a client with chroni...; Q332. Before giving methergine postpartum, the nurse should assess the client for:...; Q333. A female client comes for her second prenatal visit. The nurse-midwife tells her, "Your bl...; Q334. The nurse is trying to help a mother understand what is happening with her son who has rec...; Q335. The serial sevens test is often used to determine delirium and dementia. This test aids in...; Q336. When discussing the relationship between exercise and insulin requirements, a 26-year-old ...; Q337. Which one of the following is considered a reliable indicator for assessing the adequacy o...; Q338. A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and st...; Q339. A female client presents to the obstetric-gynecology clinic for a pregnancy test, the resu...; Q340. A client suspects that she is pregnant. She reports two missed menstrual periods. The firs...; Q341. A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the followi...; Q342. A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease...; Q343. Which classification of drugs is contraindicated for the client with hypertrophic cardiomy...; Q344. After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client co...; Q345. A client presented herself to the mental health center, describing the following symptoms:...; Q346. During his hospitalization, a 3-year-old child has become unusually aggressive in his play...; Q347. Following a bicycle accident, a 12-year-old client sustained a complete fracture of the le...; Q348. A client with cystic fibrosis exhibits activity intolerance related to the pulmonary probl...; Q349. A client is taught to eat foods high in potassium. Which food choices would indicate that ...; Q350. In assessing the nature of the stool of a client who has cystic fibrosis, what would the n...; Q351. Which of the following signs might indicate a complication during the labor process with v...; Q352. A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospita...; Q353. A male client is being treated in the burn unit for thirddegree burns on his head, neck, a...; Q354. A female client was recently diagnosed with gastric cancer. She entered the hospital and h...; Q355. Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following...; Q356. The nurse is assessing and getting a history from a client treated for depression with a m...; Q357. Which of the following signs and symptoms indicates a tension pneumothorax as compared to ...; Q358. After several days, an IDDM client's serum glucose stabilizes, and the registered nurse co...; Q359. A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first ...; Q360. A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her art...; Q361. A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on iso...; Q362. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...; Q363. A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She ...; Q364. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoure...; Q365. On morning rounds, the nurse found a manic-depressive client who is taking lithium in a co...; Q366. A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion an...; Q367. Following a bicycle accident, a 12-year-old client sustained a complete fracture of the le...; Q368. A client is receiving IV morphine 2 days after colorectal surgery. Which of the following ...; Q369. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postop...; Q370. The nurse assesses a postoperative mastectomy client and notes that breath sounds are dimi...; Q371. The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injur...; Q372. A 16-year-old client reports a weight loss of 20% of her previous weight. She has a histor...; Q373. A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, an...; Q374. The family member of a child scheduled for heart surgery states, "I just don't understand ...; Q375. A nurse should carefully monitor a client for the following side effect of MgSO4:...; Q376. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...; Q377. A female client at 10 weeks' gestation complains to her physician of slight vaginal bleedi...; Q378. A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorex...; Q379. When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extrava...; Q380. A client's renal calculi are identified as consisting of calcium phosphate. Which of the f...; Q381. A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat ...; Q382. A 35-year-old client is receiving psychopharmacological treatment of his major depression ...; Q383. The nurse assists a client with advanced emphysema to the bathroom. The client becomes ext...; Q384. A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. ...; Q385. A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mothe...; Q386. A client tells the nurse that she has had a history of urinary tract infections. The nurse...; Q387. When teaching a sex education class, the nurse identifies the most common STDs in the Unit...; Q388. Home-care instructions for the child following a cardiac catheterization should include:...; Q389. A female client is exhibiting signs of respiratory distress. Which of the following signs ...; Q390. The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tanna...; Q391. A newborn has been delivered with a meningomyelocele. The nursery nurse should position th...; Q392. A male client has been hospitalized with congestive heart failure. Medical management of h...; Q393. A client returns to the cardiovascular intensive care unit following his coronary artery b...; Q394. The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm....; Q395. A child with celiac disease is being discharged from the hospital. The mother demonstrates...; Q396. A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm an...; Q397. The nurse who is caring for a client with pneumonia assesses that the client has become in...; Q398. A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this ...; Q399. In the coronary care unit, a client has developed multifocal premature ventricular contrac...; Q400. After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries a...; Q401. One of the most reliable assessment tools for adequacy of fluid resuscitation in burned ch...; Q402. The nurse would need to monitor the serum glucose levels of a client receiving which of th...; Q403. A child is admitted to the emergency room with her mother. Her mother states that she has ...; Q404. A female client has been treated since childhood for mitral valve prolapse. The antibiotic...; Q405. A client is being treated for congestive heart failure. His medical regimen consists of di...; Q406. A female client was recently diagnosed with gastric cancer. She entered the hospital and h...; Q407. A 72-year-old client with a new colostomy is being evaluated at the clinic today for const...; Q408. Which of the following blood values would require further nursing action in a newborn who ...; Q409. Parents of a child with rheumatic fever express concern that she will always be arthritic....; Q410. Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adher...; Q411. A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescr...; Q412. For the past several months, an elderly female client with Alzheimer's disease has experie...; Q413. A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is...; Q414. Medication is administered to a client who has been placed in restraints after a sudden vi...; Q415. A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on...; Q416. A client is admitted to the labor unit. On vaginal examination, the presenting part in a c...; Q417. The nurse writes the following nursing diagnosis for a client in acute renal failure - Imp...; Q418. On the first postpartal day, a client tells the nurse that she has been changing her perin...; Q419. A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, ...; Q420. A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an ...; Q421. Nursing care of the infant prior to surgical closure of a meningomyelocele would include:...; Q422. A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this ...; Q423. The physician orders medication for a client's unpleasant side effects from the haloperido...; Q424. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...; Q425. A 40-year-old client has been admitted to the hospital with severe substernal chest pain r...; Q426. A male client has burns over 90% of his body after an automobile accident resulting in a f...; Q427. Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 2...; Q428. A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing...; Q429. A 72-year-old client with a new colostomy is being evaluated at the clinic today for const...; Q430. The FHR pattern in a laboring client begins to show early decelerations. The nurse would b...; Q431. A 9-month-old infant is being examined in the general pediatric clinic for a routine well-...; Q432. The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It wo...; Q433. A 74-year-old obese man who has undergone open reduction and internal fixation of the righ...; Q434. A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administ...; Q435. Parents of young children often need anticipatory guidance from the nurse. Parents may hav...; Q436. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...; Q437. Which of the following procedures is necessary to establish a definitive diagnosis of brea...; Q438. A 6-year-old child returned to the surgical floor 20 hours ago after an appendectomy for a...; Q439. In an interview for suspected child abuse, the child's mother openly discusses her feeling...; Q440. A client is being discharged from the hospital tomorrow following a colon resection with a...; Q441. A male client has experienced low back pain for several years. He is the primary support o...; Q442. A female client who has chronic obstructive pulmonary disease (COPD) has presented in the ...; Q443. A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal ...; Q444. The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injur...; Q445. A female client is concerned that she is in a "high-risk" group for the development of acq...; Q446. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse s...; Q447. The initial focus when providing nursing care for a child with rheumatic fever during the ...; Q448. After several days, an IDDM client's serum glucose stabilizes, and the registered nurse co...; Q449. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior...; Q450. A schizophrenic client has made sexual overtures toward her physician on numerous occasion...; Q451. A female client is exhibiting signs of respiratory distress. Which of the following signs ...; Q452. The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following ...; Q453. A client is to have a coronary artery bypass graft performed in the morning using a saphen...; Q454. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...; Q455. When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to b...; Q456. A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symp...; Q457. The postpartum nurse should include which of the following instructions to breast-feeding ...; Q458. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...; Q459. A client in active labor asks the nurse for coaching with her breathing during contraction...; Q460. The serial sevens test is often used to determine delirium and dementia. This test aids in...; Q461. A 20-year-old male client is being treated for protein deficiency. If he likes all of the ...; Q462. After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client co...; Q463. A client has been instructed in how to take her nitroglycerin tablets. The nurse giving he...; Q464. A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurs...; Q465. A male client is admitted to the psychiatric unit after experiencing severe depression. He...; Q466. A female client has been treated since childhood for mitral valve prolapse. The antibiotic...; Q467. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...; Q468. A client had a cardiac catheterization with angiography and thrombolytic therapy with stre...; Q469. A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor...; Q470. After a liver biopsy, the best position for the client is:...; Q471. While the nurse is taking a male client's blood pressure, he makes flirtatious remarks to ...; Q472. A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, ...; Q473. The nurse has been caring for a 16-year-old female who recently experienced date rape. Aft...; Q474. A client is started on prednisone 2.5 mg po bid. Which of the following instructions shoul...; Q475. A 3-year-old female client is brought into the pediatric clinic because she limps. She has...; Q476. A female client is seeking counseling for personal problems. She admits to being very unha...; Q477. A 27-year-old healthy primigravida is brought to the labor and birthing room by her husban...; Q478. A male client received a heart-lung transplant 1 month ago at a local transplant center. W...; Q479. The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following ...; Q480. Degenerative disorders are attributed to many factors. As a nurse assigned to a convalesce...; Q481. A 67-year-old postoperative TURP client has hematuria. The nurse caring for him reviews hi...; Q482. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be...; Q483. A client with bipolar disorder taking lithium tells the nurse that he has ringing in his e...; Q484. A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolati...; Q485. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...; Q486. A postoperative prostatectomy client is preparing for discharge from the hospital the next...; Q487. A client develops complications following a hysterectomy. Blood cultures reveal Pseudomona...; Q488. A murmur has been discovered during the routine physical examination of a 1-year-old child...; Q489. Prior to administering digoxin to a client with congestive heart failure, the nurse needs ...; Q490. A 67-year-old client will be undergoing a coronary arteriography in the morning. Client te...; Q491. A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has falle...; Q492. Which of the following nursing actions is essential to prevent drug-resistant tuberculosis...; Q493. A female client admitted to the labor and delivery unit thinks her bag of water "broke" ap...; Q494. Which of the following nursing orders has the highest priority for a child with epiglottit...; Q495. A female client has a chest tube placed. It is accidentally pulled out of the intrapleural...; Q496. The nurse has been caring for a 16-year-old female who recently experienced date rape. Aft...; Q497. A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he compla...; Q498. In addition to changing the mother's position to relieve cord pressure, the nurse may empl...; Q499. A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat ...; Q500. The physician prescribes amitriptyline (Elavil) for a client. What does the patient need t...; Q501. A client is taught to eat foods high in potassium. Which food choices would indicate that ...; Q502. A client is in active labor and has been admitted to the labor and delivery unit. The RN h...; Q503. An infant with a congenital heart defect is being discharged with an order for the adminis...; Q504. During the assessment, the nurse observes a client scratching his skin. He has been admitt...; Q505. A client tells the nurse that she has had a history of urinary tract infections. The nurse...; Q506. A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse ba...; Q507. The nurse would be concerned if a client exhibited which of the following symptoms during ...; Q508. A client suspects that she is pregnant. She reports two missed menstrual periods. The firs...; Q509. The nurse should know that according to current thinking, the most important prognostic fa...; Q510. Which of the following menu choices would indicate that a client with pressure ulcers unde...; Q511. Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent pe...; Q512. Blood work reveals the following lab values for a client who has been diagnosed with anore...; Q513. A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is...; Q514. The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may...; Q515. A psychotic client who believes that he is God and rules all the universe is experiencing ...; Q516. Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclam...; Q517. A client returned to the unit following a pneumonectomy. As the nurse is assessing her inc...; Q518. A 71-year-old client fell and injured her left leg while cooking in the kitchen. Her husba...; Q519. A 43-year-old client is admitted to the hospital with a diagnosis of peripheral vascular d...; Q520. Forty-eight hours after a thyroidectomy, a female client complains of numbness and tinglin...; Q521. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingiv...; Q522. A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). ...; Q523. Which of the following risk factors associated with breast cancer would a nurse consider m...; Q524. As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign o...; Q525. A female client is anticipating a visit with her parents over the Thanksgiving holidays. S...; Q526. After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries a...; Q527. A 2-year-old boy is in the hospital outpatient department for observation after falling ou...; Q528. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse s...; Q529. A 47-year-old client comes to the emergency department complaining of moderate flank, abdo...; Q530. A client has been diagnosed with thrombophlebitis. She asks, "What is the most likely caus...; Q531. When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic...; Q532. A client is admitted to the psychiatric unit after lavage and stabilization in the emergen...; Q533. A male client has heart failure. He has been instructed to gradually increase his activiti...; Q534. Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care...; Q535. A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventric...; Q536. An 80-year-old widow is living with her son and daughter- in-law. The home health nurse ha...; Q537. A client on the infectious disease unit is discussing transmission of human immunodeficien...; Q538. A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Wh...; Q539. A client is pregnant with her second child. Her last menstrual period began on January 15....; Q540. A female client admitted to the labor and delivery unit thinks her bag of water "broke" ap...; Q541. When evaluating a client with symptoms of shock, it is important for the nurse to differen...; Q542. A female client at 36 weeks' gestation has been treated successfully for premature labor f...; Q543. In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the n...; Q544. A 19-year-old primigravida is admitted to the labor and delivery suite of the hospital. He...; Q545. The nurse knows that children are more susceptible to respiratory tract infections owing t...; Q546. A parent told the public health nurse that her 6-year-old son has been taking tetracycline...; Q547. A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the followi...; Q548. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...; Q549. A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright ...; Q550. Which of the following nursing orders should be included in the plan of care for a client ...; Q551. A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adoles...; Q552. A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the ...; Q553. Which classification of drugs is contraindicated for the client with hypertrophic cardiomy...; Q554. In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can ...; Q555. Following a fracture of the left femur, a client develops symptoms of osteomyelitis. Durin...; Q556. The nurse would assess the client's correct understanding of the fertility awareness metho...; Q557. A male client is admitted to the psychiatric unit after experiencing severe depression. He...; Q558. A pregnant client during labor is irritable and feels the urge to vomit. The nurse should ...; Q559. In addition to changing the mother's position to relieve cord pressure, the nurse may empl...; Q560. A child sustains a supracondylar fracture of the femur. When assessing for vascular injury...; Q561. A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the...; Q562. A 65-year-old client who has a new colostomy is preparing for discharge from the hospital....; Q563. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...; Q564. A client presents to the psychiatric unit crying hysterically. She is diagnosed with sever...; Q565. To appropriately monitor therapy and client progress, the nurse should be aware that incre...; Q566. Which of the following ECG changes would be seen as a positive myocardial stress test resp...

Join the discussion

Question 1/566

Add Comments

Download PDF File