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Questions 148

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Question 1 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.

Question 2 of 5

The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:

Correct Answer: C

Rationale: Regular insulin has an onset of 30-60 minutes when given subcutaneously.

Question 3 of 5

A 5-month-old infant is admitted to the ER with a temperature of 103.6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:

Correct Answer: B

Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical finding in bacterial meningitis in infants.

Question 4 of 5

A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?

Correct Answer: A

Rationale: abnormal finding, could indicate gestational diabetes (GDM), hazard of placental insufficiency

Question 5 of 5

Which diet is associated with an increased risk of colorectal cancer?

Correct Answer: C

Rationale: A diet high in fat and refined carbohydrates increases the risk of colorectal cancer due to prolonged intestinal transit time and exposure to carcinogenic metabolites.

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