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Questions 148

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Question 1 of 5

A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?

Correct Answer: D

Rationale: Tucking a diaper beneath the cast at the perineal opening helps keep the cast clean and prevents skin irritation.

Question 2 of 5

A client is admitted with symptoms of vertigo and syncope. Diagnostic tests indicate left subclavian artery obstruction. What additional findings would the nurse expect?

Correct Answer: C

Rationale: Subclavian artery obstruction can cause reduced blood flow to the arm, leading to radial pulse differences between arms, a hallmark of conditions like subclavian steal syndrome.

Question 3 of 5

A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient’s nutritional status has improved after 4 days?

Correct Answer: C

Rationale: albumin levels are best indicators of long-term nutritional status

Question 4 of 5

A client with AIDS tells the nurse that he regularly takes echinacea to boost his immune system. The nurse should tell the client that:

Correct Answer: A

Rationale: Echinacea may interact with antiretroviral medications, potentially reducing their effectiveness.

Question 5 of 5

The nurse is caring for a client who fractured her leg in a motor vehicle accident. A cast is applied. The nurse will assess which of the following? Select all that apply.

Correct Answer: A, B, C, E

Rationale: Assessing pulses, capillary refill, skin temperature, and neurovascular symptoms (pain, numbness, tingling, movement) ensures circulation and nerve function are intact; squeezing the cast is inappropriate.

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