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Question 1 of 5

An infant had a repair of a myelomeningocele two days ago. Which assessment is most important to detect a problem commonly seen following myelomeningocele repair?

Correct Answer: D

Rationale: Hydrocephalus is a common complication post-myelomeningocele repair due to altered cerebrospinal fluid flow; measuring head circumference detects this by identifying increased intracranial pressure.

Question 2 of 5

Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:

Correct Answer: B

Rationale: Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation

Extract:

Hirschprung's Disease is somewhat similar to cystic fibrosis. In both diseases, the newborn does not pass out meconium.


Question 3 of 5

Pathophysiologically, in Hirschprung's Disease, the child's affected organ is:

Correct Answer: B

Rationale: Hirschprung's disease involves aganglionic segments of the large intestine, causing obstruction.

Extract:


Question 4 of 5

Which client is at highest risk for developing a pressure ulcer?

Correct Answer: C

Rationale: 75 year-old with left sided paresthesia who is incontinent of urine and stool. Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of risk factors.

Question 5 of 5

A nurse is caring for a pregnant patient in her third trimester. Which of the following findings should be reported immediately?

Correct Answer: C

Rationale: Severe headache and visual disturbances suggest preeclampsia, a medical emergency. Mild edema, heartburn, and frequent urination are normal in late pregnancy.

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