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Questions 158

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Extract:


Question 1 of 5

A client has sustained a severe head injury and damaged the preoccipital lobe. The nurse should remain particularly alert for which of the following problems?

Correct Answer: A

Rationale: The preoccipital (occipital) lobe processes vision. Damage causes visual impairment (e.g., cortical blindness). Swallowing (
B) involves the brainstem, judgment (
C) the frontal lobe, and hearing (
D) the temporal lobe.

Question 2 of 5

A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?

Correct Answer: B

Rationale: Such a diet is less irritating to the damaged mucosa and is easier for the child to tolerate, promoting eating despite discomfort.

Question 3 of 5

The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

Correct Answer: B

Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.

Question 4 of 5

The nurse is performing an assessment on a newborn with suspected coarctation of the aorta. Which finding is most likely?

Correct Answer: A

Rationale: Coarctation of the aorta causes narrowed aortic flow, leading to diminished femoral pulses. Murmurs may occur, but pulse discrepancy is most characteristic.

Question 5 of 5

A neonate was admitted to the hospital with projectile vomiting. According to the parents, the baby had experienced vomiting episodes after feeding for the last 2 days. A medical diagnosis of hypertrophic pyloric stenosis was made. On assessment, the infant had poor skin turgor, sunken eyeballs, dry skin, and weight loss. Identify the number-one priority nursing diagnosis.

Correct Answer: A

Rationale: Fluid volume deficit is the major problem. Symptoms of dehydration are evident, and rehydration is critical to prevent life-threatening complications.

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