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Questions 149

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Question 1 of 5

A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

Correct Answer: B

Rationale: In Bryant's traction, the buttocks should be slightly elevated (15° off the bed) to ensure proper alignment.

Question 2 of 5

A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

Correct Answer: C

Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.

Question 3 of 5

The obstetric client's fetal heart rate is 80-90 during the contractions. The first action the nurse should take is:

Correct Answer: B

Rationale: A fetal heart rate of 80-90 suggests distress; turning the client to her left side improves uteroplacental perfusion.

Question 4 of 5

An 8-year-old boy is diagnosed with a Wilm's tumor. The nurse would expect what finding on assessment?

Correct Answer: D

Rationale: Wilm’s tumor (nephroblastoma) often presents with an enlarged abdomen due to a palpable renal mass.

Question 5 of 5

A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?

Correct Answer: B

Rationale: Obtaining the signed consent form is the nurse's primary responsibility to ensure informed consent before surgery.

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