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Questions 149

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Question 1 of 5

A 4-year-old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?

Correct Answer: C

Rationale: A white blood cell count of 16,000 suggests infection or inflammation, which should be reported before surgery.

Question 2 of 5

An obstetrical client with diabetes has an amniocentesis at 28 weeks gestation. Which test indicates the degree of fetal lung maturity?

Correct Answer: D

Rationale: The lecithin-sphingomyelin (L/S) ratio assesses fetal lung maturity by measuring surfactant levels, critical for preterm delivery planning in diabetic pregnancies.

Question 3 of 5

A 22-year-old woman has just been diagnosed with myasthenia gravis. She asks the nurse what causes this disease. The most accurate response from the nurse is

Correct Answer: C

Rationale: Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, impairing muscle contraction.

Question 4 of 5

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?

Correct Answer: B

Rationale: A 4-year-old is at greatest risk due to their curiosity, mobility, and tendency to explore their environment, often putting objects in their mouths.

Question 5 of 5

The clinic nurse is seeing a client who suffers from caregiver strain due to caring for her elderly parents who have dementia and live with her. Which action by the nurse during the assessment is most important?

Correct Answer: A

Rationale: Assessing support systems identifies resources to alleviate caregiver strain, guiding interventions to reduce stress.

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