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Questions 227

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Extract:

During the second phase of bum recovery, the nurse anticipates that the client will exhibit


Question 1 of 5

high serum potassium level.

Correct Answer: B

Rationale: An increased urinary output is a sign of adequate hydration during the second phase of burn recovery.

Extract:

On the third day post partum day, a mother asks why her newborn's skin has begun to appear yellow.


Question 2 of 5

The nurse should plan to teach her that the change in skin tone is a result of:

Correct Answer: C

Rationale: Physiologic jaundice results from the breakdown of excess red blood cells in newborns.

Extract:


Question 3 of 5

The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:

Correct Answer: C

Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.

Extract:

Seven days post above-the-knee amputation (AKA)


Question 4 of 5

Recommended activity for the patient would include:

Correct Answer: C

Rationale: Sitting up in a chair promotes mobility and prevents complications like pressure ulcers.

Extract:

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:


Question 5 of 5

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:

Correct Answer: C

Rationale: Broccoli is a good non-dairy source of calcium, important for pregnancy.

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