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Questions 227

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Extract:


Question 1 of 5

An adult had an open cholecystectomy and has an open wound. The client refuses to look at the area during the dressing change. What is the most likely reason for this behavior?

Correct Answer: B

Rationale: Refusing to look at the wound suggests difficulty accepting a change in body image post-cholecystectomy, a common emotional response.

Question 2 of 5

A nurse is assessing a newborn who is 1 hour old. Which of the following findings should be reported to the healthcare provider? (Select all that apply)

Correct Answer: B,C

Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate reporting. A respiratory rate of 50 and temperature of 36.5°C are normal for a newborn.

Extract:

The incidence of Sickle Cell Anemia is higher among black American babies.


Question 3 of 5

The symptoms of sickle cell anemia are not evident until later during infancy because

Correct Answer: C

Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.

Extract:

The patient is taking antidepressant drug, Elavil. The spouse of the patient complains that the dosage of the drug needs to be increased because no improvement is noted. The patient has been taking the drug for the last 3 days and no improvement is noted.


Question 4 of 5

The most appropriate nursing response would be:

Correct Answer: B

Rationale: Elavil, a tricyclic antidepressant, typically takes 3–4 weeks to show therapeutic effects.

Extract:

A patient with a diagnosis of bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness.


Question 5 of 5

The nurse checks lab work for

Correct Answer: B

Rationale: Symptoms suggest hyponatremia from excessive water intake, requiring electrolyte assessment.

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