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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

A client in Dunlop traction experiences numbness of the thumb and index finger and cannot move the thumb to touch the tips of the other fingers. The capillary refill time is four seconds. Which of the following actions is indicated?

Correct Answer: A

Rationale: Numbness, impaired thumb movement, and delayed capillary refill suggest compression from a tight elastic bandage. Removing and reapplying it loosely (
A) addresses this. Adjusting weights (B,
D) or countertraction (
C) does not address the symptoms.

Question 2 of 5

Upon arrival in the nursery, erythomycin eyedrops are applied to the newborn's eyes. The nurse understands that the medication will:

Correct Answer: B

Rationale: Erythromycin eyedrops are used to prevent neonatal conjunctivitis, which can lead to blindness, particularly from gonorrhea or chlamydia exposure.

Question 3 of 5

The nurse expects a child with a deficiency in factor VIII to be diagnosed with

Correct Answer: A

Rationale: Factor VIII deficiency causes hemophilia A, a bleeding disorder due to impaired clotting.

Question 4 of 5

The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in:

Correct Answer: B

Rationale: The Whipple procedure is typically performed for pancreatic cancer in the head of the pancreas, involving resection of the pancreatic head, duodenum, and other structures.

Question 5 of 5

After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:

Correct Answer: A

Rationale: Undercooked hamburger is a common source of E. coli, particularly strains like O157:H7, which can contaminate ground beef.

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