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Questions 149

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Extract:


Question 1 of 5

A 2-month-old boy with a temperature of 102°F (39°C) is brought to the emergency department by his mother. The mother tells the nurse that her son had a DPT injection one week ago, and asks if this fever is related to the immunization. The nurse’s response should be based on the knowledge that

Correct Answer: C

Rationale: low-grade fever and irritability frequent response to immunization

Question 2 of 5

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?

Correct Answer: B

Rationale: A barium enema is contraindicated in acute diverticulitis due to the risk of perforation and peritonitis.

Question 3 of 5

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Correct Answer: A

Rationale: Atropine reverses cholinergic effects during a Tensilon test.

Question 4 of 5

An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:

Correct Answer: B

Rationale: Monitoring pulse and respirations helps assess cardiac function and detect complications early in a client with cardiac disease.

Question 5 of 5

The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:

Correct Answer: D

Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.

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