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Extract:


Question 1 of 5

An adult is admitted for a neurological workup and is scheduled for a spinal tap. When preparing the client for the procedure, the nurse should position the client in which position?

Correct Answer: B

Rationale: The lateral position with knees to chest maximizes spinal flexion, opening vertebral spaces for safe lumbar puncture needle insertion.

Question 2 of 5

A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasocclusive crisis?

Correct Answer: D

Rationale: Hydration is needed to prevent slowing of blood flow and occlusion. It is important to perform the assessments in answers A, B, and C, but D is the best intervention for the prevention of the crisis.

Extract:

You're able to elicit a Babinski's response in your 9-month-old patient.


Question 3 of 5

This is

Correct Answer: A

Rationale: A positive Babinski's response is normal in infants up to 12–24 months due to immature corticospinal tracts.

Extract:

A nurse is going to give health teachings to a group of 11 to 15 years old clients with Diabetes Mellitus.


Question 4 of 5

Considering the group's developmental needs, the type of learning activity planned by the nurse would be:

Correct Answer: D

Rationale: Peer-support activities align with adolescents' developmental need for social connection and shared experiences.

Extract:

If Larissa, an IDDM, is in acute ketoacidosis


Question 5 of 5

The nurse would expect to see which of the following group of symptoms?

Correct Answer: A

Rationale: Ketoacidosis presents with vomiting, thirst, diuresis, and risk of coma due to metabolic acidosis.

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