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Questions 148

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Question 1 of 5

A client with acute alcohol intoxication is being treated for hypomagnesemia. During assessment of the client, the nurse would expect to find:

Correct Answer: D

Rationale: Hypomagnesemia can cause a positive Trousseau's sign, indicating neuromuscular irritability due to low magnesium levels.

Question 2 of 5

The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis?

Correct Answer: C

Rationale: A red, beefy tongue is a classic sign of pernicious anemia due to vitamin B12 deficiency affecting mucosal tissues.

Question 3 of 5

The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:

Correct Answer: C

Rationale: Sitz baths relieve episiotomy pain by promoting circulation and healing.

Question 4 of 5

The nurse is caring for a newborn who is on strict intake and output. The used diaper weighs $73.5 \mathrm{gm}$. The diaper's dry weight was $62 \mathrm{gm}$. The newborn's urine output is:

Correct Answer: B

Rationale: Urine output is calculated by subtracting dry diaper weight from wet diaper weight: 73.5 gm - 62 gm = 11.5 ml (1 gm = 1 ml for urine).

Question 5 of 5

A client with rheumatoid arthritis is beginning to develop flexion contractures of the knees. The nurse should tell the client to:

Correct Answer: A

Rationale: Lying prone with feet hanging over the mattress edge promotes knee extension, helping to prevent or reduce flexion contractures in rheumatoid arthritis.

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