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Questions 148

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Question 1 of 5

A burn client's care plan reveals an expected outcome of no localized or systemic infection. Which assessment by the nurse supports this outcome?

Correct Answer: A

Rationale: Minimal bacteria in wound cultures supports the absence of localized infection, aligning with the care plan's goal.

Question 2 of 5

A child suspected of having cystic fibrosis is scheduled for a quantitative sweat test. The nurse knows that the quantitative sweat test will be analyzed using:

Correct Answer: A

Rationale: Pilocarpine iontophoresis is used to stimulate sweat production for chloride analysis in cystic fibrosis diagnosis.

Question 3 of 5

If a group includes only members selected on a specific basis, such as women with a history of domestic or partner abuse, how is this type of group classified?

Correct Answer: A

Rationale: A group with members sharing a specific characteristic, like domestic abuse history, is homogeneous (
A). Closed (
B) refers to membership limits, heterogeneous (
C) to diversity, and task (
D) to purpose.

Question 4 of 5

The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?

Correct Answer: D

Rationale: Respiratory stridor post-tonsillectomy indicates airway obstruction, a life-threatening complication requiring immediate reporting.

Question 5 of 5

The nurse is observing the respirations of a client when she notes that the respiratory cycle is marked by periods of apnea lasting from 10 seconds to 1 minute. The apnea is followed by respirations that gradually increase in depth and frequency. The nurse should document that the client is experiencing:

Correct Answer: A

Rationale: Cheyne-Stokes respirations are characterized by periods of apnea followed by increasing depth and frequency of breaths.

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