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Questions 149

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Question 1 of 5

A client with end stage renal disease is being managed with peritoneal dialysis. If the dialysate return is slowed the nurse should tell the client to:

Correct Answer: D

Rationale: Changing position or turning side to side can help dislodge obstructions or reposition the catheter, improving dialysate flow.

Question 2 of 5

The nurse is caring for a client with suspected meningitis who will be having a lumbar puncture. Which statement regarding aftercare is correct?

Correct Answer: D

Rationale: Post-lumbar puncture care includes assessing for neurological changes, pain, drainage, and voiding to detect complications like nerve injury or CSF leak.

Question 3 of 5

A client is admitted to the intensive care unit after falling on an icy sidewalk and striking the right side of the head. An MRI revealed a right-sided epidural hematoma. Which physical force explains the location of the client's injury?

Correct Answer: A

Rationale: A coup injury occurs at the site of impact, explaining the right-sided epidural hematoma from striking the right side of the head.

Question 4 of 5

An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:

Correct Answer: C

Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.

Question 5 of 5

Which of the following are important factors in facilitating attachment between a newborn and mother?

Correct Answer: A,B,D

Rationale: Rooming in (
A), swaddling/holding (
B), and early breastfeeding (
D) promote bonding. Childcare knowledge (
C) is less directly related to attachment.

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