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Questions 149

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Question 1 of 5

A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:

Correct Answer: A

Rationale: Infants typically double their birth weight by 6 months, so a 7-pound newborn would weigh approximately 14 pounds.

Question 2 of 5

The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse's best action?

Correct Answer: A

Rationale: An ICP of 66 mmHg is critically high (normal <20 mmHg), indicating severe brain swelling. Notifying the physician is urgent for immediate intervention.

Question 3 of 5

A client is receiving a blood transfusion following surgery. In the event of a transfusion reaction, any unused blood should be:

Correct Answer: D

Rationale: Unused blood must be returned to the blood bank for analysis in case of a transfusion reaction.

Question 4 of 5

The physician has prescribed a Becloforte (beclomethasone) inhaler two puffs twice a day for a client with asthma. The nurse should tell the client to report:

Correct Answer: B

Rationale: A sore throat may indicate oral candidiasis, a side effect of inhaled corticosteroids like beclomethasone.

Question 5 of 5

Following a disaster with multiple victims and danger to those present, which group should have priority for protection from injury?

Correct Answer: B

Rationale: Firefighters and police officers (
B) have priority for protection as they are essential for managing the disaster and ensuring safety for others. Victims (
A), bystanders (
C), and healthcare providers (
D) follow in priority.

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