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Extract:


Question 1 of 5

A newborn is to receive phototherapy for hyperbilirubinemia. Which nursing action is essential?

Correct Answer: D

Rationale: Covering the eyes protects the newborn's retinas from phototherapy light, a critical safety measure.

Extract:

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:


Question 2 of 5

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:

Correct Answer: D

Rationale: Alcohol causes enzyme backflow, leading to pancreatic autodigestion.

Extract:


Question 3 of 5

The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?

Correct Answer: A

Rationale: A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (
B), spasticity (
C), and numbness (
D) are expected or less urgent.

Question 4 of 5

Which condition is associated with inadequate intake of vitamin C?

Correct Answer: D

Rationale: Scurvy results from vitamin C deficiency, causing symptoms like bleeding gums and poor wound healing. The other conditions are related to different nutritional deficiencies. Physiological Adaptation

Question 5 of 5

The nurse is caring for an adult who has ulcerative colitis. When planning care, the nurse knows that which nursing diagnosis is of highest priority?

Correct Answer: A

Rationale: Ulcerative colitis causes diarrhea, leading to fluid loss and dehydration, making deficient fluid volume the highest priority to prevent systemic complications like hypovolemia.

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