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Questions 158

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Question 1 of 5

A client with a history of a burn injury is receiving Collagenase (Santyl). The nurse should:

Correct Answer: C

Rationale: Collagenase is applied to debride burn wounds, requiring a clean wound bed for effectiveness. It’s applied only to the wound, covered with a moist dressing, and not exposed to air.

Question 2 of 5

The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

Correct Answer: A

Rationale: Smoking during pregnancy restricts placental blood flow leading to low birth weight. Babies are not typically large and while preterm birth or growth retardation may occur low birth weight is the most consistent finding.

Question 3 of 5

Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

Correct Answer: C

Rationale: Having a wig that looks like a girl's own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss.

Question 4 of 5

Which of the following activities have been associated with an increase in lead exposure?

Question Image

Correct Answer: A, C, D, F

Rationale: Lead exposure risks include stained glass work (
A), restoring old toys (
C), decorative mugs (
D), and pre-1950 homes (F) due to lead-based paint or glazes. Disposable bottles (
B) and non-stick cookware (E) are not significant sources.

Question 5 of 5

The nurse is caring for a client with a history of a total knee replacement. The client complains of pain and swelling. The nurse should:

Correct Answer: A

Rationale: Ice reduces pain and swelling post-total knee replacement by decreasing inflammation. Elevation is helpful, aspirin requires an order, and notification is needed if symptoms persist.

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