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Questions 158

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Question 1 of 5

A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the baby's condition. The nurse knows that the pediatrician has discussed the baby's condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?

Correct Answer: B

Rationale: The nurse should call the orthopedist after assessing the mother's knowledge. The nurse must first assess the knowledge of the parent before attempting any explanation. The nurse should assess the mother's knowledge of the baby's condition as the first priority. This answer is correct, but the priority is B.

Question 2 of 5

The therapeutic blood-level range for lithium is:

Correct Answer: B

Rationale: This range is too low to be therapeutic. This is the therapeutic range for lithium. This range is above the therapeutic level. This range is toxic and may cause severe side effects.

Question 3 of 5

A client is admitted to the emergency room with multiple injuries. What is the proper sequence for managing the client?

Correct Answer: C

Rationale: The ABCs of trauma care prioritize airway establishment, followed by controlling hemorrhage and preventing shock, then assessing head injuries to ensure oxygenation and perfusion.

Question 4 of 5

The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks' gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

Correct Answer: B

Rationale: These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. These nursing actions are necessary prior to the cesarean section, but not immediately necessary百2.5.3.2 immediately necessary to maintain physiological equilibrium. These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.

Question 5 of 5

A client with a history of hepatitis C is admitted with complaints of fatigue. The nurse should expect the client to have:

Correct Answer: A

Rationale: Hepatitis C causes liver inflammation, leading to elevated liver enzymes (e.g., AST, ALT), a common finding reflecting hepatic damage.

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