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Questions 149

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Question 1 of 5

How many hours of activity per day are necessary to prevent disuse syndrome with muscle atrophy and joint contracture?

Correct Answer: C

Rationale: Approximately 2 hours of activity daily (
C), including range-of-motion exercises or ambulation, helps prevent disuse syndrome, muscle atrophy, and joint contractures in immobilized clients.

Question 2 of 5

A labor and delivery nurse is assessing a newborn baby boy. Which finding would indicate possible microcephaly?

Correct Answer: C

Rationale: Microcephaly is defined by a head circumference significantly below normal (e.g., lowest 10th percentile), indicating potential brain development issues.

Question 3 of 5

The doctor has ordered 80 mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5 meq/L. The nurse should:

Correct Answer: D

Rationale: A potassium level of 2.5 mEq/L is dangerously low; withholding Lasix and notifying the doctor prevents further potassium loss.

Question 4 of 5

A client is being treated with internal radiation (brachytherapy). The nurse explains to the client that

Correct Answer: C

Rationale: Brachytherapy requires distance precautions; visitors must stay 6 feet away to minimize radiation exposure. Gowns/masks are not needed, visitors are allowed, and gifts do not become radioactive.

Question 5 of 5

The nurse is caring for a first-time mother who is asking how to help her baby sleep through the night as the baby gets older. Which recommendation should the nurse tell the mother?

Correct Answer: D

Rationale: Placing the baby in bed awake after a late feeding promotes self-soothing and healthy sleep habits, unlike the other options, which may create dependencies or safety risks.

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