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Questions 149

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Question 1 of 5

A client in ICU is being closely monitored after a fall. The nurse notices a slight increase in intracranial pressure (ICP). The nurse should intervene by

Correct Answer: C

Rationale: Turning and repositioning the patient helps reduce ICP by promoting venous drainage. Elevating the head to 30-45 degrees (not 90) is appropriate; excessive suctioning or oxygen changes may not address ICP directly.

Question 2 of 5

The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:

Correct Answer: A

Rationale: Rest reduces spasticity and involuntary movements in cerebral palsy.

Question 3 of 5

Which of the following are risk factors for developing glaucoma? Select all that apply.

Correct Answer: C,E

Rationale: Diabetes mellitus and hypertension increase glaucoma risk by affecting ocular blood flow and pressure. Asthma, anemia, and obesity are not direct risk factors.

Question 4 of 5

According to Maslow's hierarchy of needs, order the following needs from most basic to most advanced (bottom of the pyramid to the top):

Order the Items

Source Container

safety and security
esteem
physiological
love and belonging
self-actualization

Correct Answer: C,A,D,B,E

Rationale: Maslow’s hierarchy: physiological (most basic), safety and security, love and belonging, esteem, self-actualization (most advanced).

Question 5 of 5

Which of the following antibiotics is contraindicated in children younger than 8 years?

Correct Answer: A

Rationale: Tetracycline (
A) is contraindicated in children under 8 due to tooth discoloration and bone growth inhibition. Other antibiotics (B, C,
D) are safe.

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