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Extract:


Question 1 of 5

A client who had a total thyroidectomy this morning is to be admitted to the surgical floor. What should the nurse have readily available when the client arrives?

Correct Answer: A

Rationale: Thyroidectomy risks airway obstruction from swelling or hematoma; a tracheostomy set is essential for emergency airway management.

Extract:

Marie is a 38-year-old primigravida who is admitted with a diagnosis of pregnancy induced hypertension (PIH).


Question 2 of 5

Priority nursing care on the patient with PIH include:

Correct Answer: C

Rationale: Low urine output (335 ml/24 hours) indicates possible renal involvement in PIH, a priority for monitoring and reporting to prevent further complications.

Extract:


Question 3 of 5

The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is

Correct Answer: A

Rationale: Urinary output of 30 ml per hour. This indicates adequate fluid replacement without suggesting overload.

Question 4 of 5

The nurse is assessing a client with a suspected fracture of the radius. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: A radius fracture typically causes swelling and deformity at the wrist due to bone disruption. Shoulder pain (
B) suggests a proximal injury, leg numbness (
C) is unrelated, and fever/stiffness (
D) indicate infection or arthritis.

Question 5 of 5

Which condition is associated with inadequate intake of vitamin C?

Correct Answer: D

Rationale: Scurvy results from vitamin C deficiency, causing symptoms like bleeding gums and poor wound healing. The other conditions are related to different nutritional deficiencies. Physiological Adaptation

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