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Questions 149

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Question 1 of 5

A client who just delivered is concerned about her neonate's Apgar scores of 7 at 1 minute and 8 at 5 minutes. She has been told a score lower than 9 is associated with learning disabilities. Which response is best?

Correct Answer: B

Rationale: Apgar scores of 7 and 8 are within normal limits, indicating no immediate need for extra care, and this response addresses the mother's concern accurately without dismissing it.

Question 2 of 5

A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:

Correct Answer: D

Rationale: Sulfamylon (mafenide acetate) causes a burning sensation upon application, which should be explained to the client.

Question 3 of 5

During a pre-op assessment, the nurse would chart which finding(s) as subjective data? Select all that apply.

Correct Answer: B,C,E

Rationale: Subjective data are client-reported, including statements about surgery concerns, weight loss, and pain ratings. Sweating/wringing hands and blood pressure are objective (observable/measurable).

Question 4 of 5

Which finding is associated with Tay Sachs disease?

Correct Answer: B

Rationale: Cherry-red spots on the macula are a classic finding in Tay-Sachs disease due to lipid accumulation in retinal ganglion cells.

Question 5 of 5

Which of the following are common neurological changes associated with aging? Select all that apply.

Correct Answer: B,D

Rationale: Aging commonly increases sensory input threshold (
B), making stimuli harder to perceive, and impairs short-term memory (
D). Dementia (
A) is not universal, perspiration reduction (
C) is not neurological, and muscle atrophy (E) is musculoskeletal.

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