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Questions 148

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Question 1 of 5

A nursing instructor demonstrates to several students how to wrap an amputated limb in a bandage using a figure eight technique. Which of the following correctly states the benefits of this technique? Select all that apply.

Correct Answer: B,C

Rationale: The figure-eight technique reduces swelling (
B) by promoting venous return and minimizes pain (
C) by stabilizing the limb. It does not prevent clots (
A) or air exposure (
D).

Question 2 of 5

When assisting a client with range-of-motion exercises, which movements should be carried out on the client's elbows? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Elbow range-of-motion includes flexion (
B), extension (E), supination (
A), and pronation (
D). Circumduction (
C) is not possible at the elbow, and hyperextension (F) is not a standard motion for this joint.

Question 3 of 5

A client with AIDS is admitted with a diagnosis of pneumocystis carinii pneumonia. Shortly after his admission, he becomes confused and disoriented. He attempts to pull out his IV and refuses to wear an O2 mask. Based upon his mental status, the priority nursing diagnosis is:

Correct Answer: B

Rationale: The client's confusion and disorientation pose a risk for injury, such as pulling out the IV or falling, making this the priority nursing diagnosis.

Question 4 of 5

A 60-year-old diabetic is taking glyburide (Diabeta) 1.25 mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching?

Correct Answer: C

Rationale: Skipping meals while on glyburide increases hypoglycemia risk, indicating a need for further teaching.

Question 5 of 5

The physician has made a diagnosis of 'shaken child' syndrome for a 13-month-old who was brought to the emergency room after a reported fall from his highchair. Which finding supports the diagnosis of 'shaken child' syndrome?

Correct Answer: C

Rationale: Retinal hemorrhages are a hallmark of shaken baby syndrome due to the shearing forces from violent shaking causing bleeding in the retina.

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