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Question 1 of 5

A client sustained a severe head injury to the occipital lobe. The nurse should carefully assess the client for:

Correct Answer: A

Rationale: The occipital lobe processes visual information, so injury to this area is likely to cause visual disturbances, such as blurred vision or visual field deficits.

Question 2 of 5

The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?

Correct Answer: A

Rationale: Dried beans are high in purines, which can increase uric acid levels and exacerbate gout symptoms.

Question 3 of 5

A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?

Correct Answer: A

Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.

Question 4 of 5

Which nursing assessment indicates that involutional changes have occurred in a client who is 3 days postpartum?

Correct Answer: A

Rationale: A firm fundus 3 finger widths below the umbilicus by day 3 postpartum indicates normal uterine involution, as the uterus shrinks progressively after delivery.

Question 5 of 5

A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?

Correct Answer: A

Rationale: Sydenham's chorea, a manifestation of rheumatic fever, is characterized by irregular, involuntary movements and facial grimacing.

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The nurse is part of an interdisciplinary team in a rehabilitation unit. Which of the following statements by a client is most important to be communicated to the social worker on the team?
A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:

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