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Questions 227

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Extract:


Question 1 of 5

A client is being admitted with a diagnosis of possible pancreatitis. Which of the following is the best support for this diagnosis?

Correct Answer: C

Rationale: The client's amylase level is elevated above the normal level of 200 U/L. This measurement is the most accurate indicator of pancreatitis and the most objective and specific. The answers in A, B, and D are also clinical manifestations of pancreatitis, but are not as specific as the laboratory value, so they are incorrect choices.

Extract:

After a painful exacerbation of rheumatoid arthritis, a patient is to begin a walking and exercise program.


Question 2 of 5

An appropriate outcome would be that the patient:

Correct Answer: D

Rationale: Exercising until discomfort becomes too great balances activity with joint protection, promoting safe participation.

Extract:


Question 3 of 5

A client's vision is to be evaluated using the Ishihara exam. The nurse recognizes that the client will be checked for:

Correct Answer: C

Rationale: The Ishihara exam tests for color blindness by assessing color perception. It does not evaluate macular degeneration, astigmatism, or glaucoma.

Question 4 of 5

An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

Correct Answer: D

Rationale: Blood at the urethral meatus suggests trauma, contraindicating catheterization. A urologist consult is necessary for specialized evaluation and management. Physiological Adaptation

Question 5 of 5

During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-left quadrant. The infant is most likely in which position?

Correct Answer: B

Rationale: Fetal heart tones loudest in the upper-left quadrant suggest a left occipital anterior position, where the fetus's back is aligned with the mother's left side. Other positions` positions are less likely.

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