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Questions 148

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Question 1 of 5

A client is admitted with a diagnosis of duodenal ulcer. A common complaint of the client with a duodenal ulcer is:

Correct Answer: A

Rationale: Duodenal ulcers typically cause epigastric pain that is relieved by eating due to buffering of gastric acid.

Question 2 of 5

The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

Correct Answer: C

Rationale: Head lag is expected in a preterm newborn at 32 weeks due to underdeveloped neck muscle strength.

Question 3 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg three times daily. The nurse should instruct the client to report which of the following side effects to the physician?

Correct Answer: B

Rationale: gingival hyperplasia and rash are significant side effects of phenytoin that require medical attention

Question 4 of 5

The home health nurse is visiting a client who plans to deliver her baby at home. Which statement by the client indicates an understanding regarding screening for phenylketonuria (PKU)?

Correct Answer: B

Rationale: PKU screening is typically performed at 2-3 days of age to ensure accurate results, as earlier testing may yield false negatives.

Question 5 of 5

A client is admitted with possible appendicitis. Which finding by the nurse would be expected in assessment of this client?

Correct Answer: A

Rationale: A positive psoas sign (pain with leg extension) is associated with appendicitis. Murphy’s sign is for gallbladder, Homan’s for DVT, and Chadwick’s for pregnancy.

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