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Questions 148

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Extract:


Question 1 of 5

If the nurse is unable to elicit the deep tendon reflexes of the patella, the nurse should ask the client to:

Correct Answer: A

Rationale: Pulling against the palms enhances reflex response by increasing muscle tone, aiding in eliciting the patellar reflex.

Question 2 of 5

The nurse is teaching the mother of a newborn to care for the umbilical cord. What should the nurse advise the mother to do if the cord becomes soiled with urine or feces?

Correct Answer: C

Rationale: Washing with mild soap and water, rinsing, and drying (
C) cleans the umbilical cord safely without irritation. Alcohol (
A) and povidone-iodine (
D) may be too harsh, and a dry cloth (
B) is ineffective.

Question 3 of 5

A 14-year-old client has been diagnosed with celiac disease after a long history of diarrhea, anemia, and weight loss. What type of diet does the nurse anticipate the client will require?

Correct Answer: D

Rationale: Celiac disease requires a gluten-free diet (
D) to prevent intestinal damage. Other diets (A, B,
C) are not specific to celiac.

Question 4 of 5

A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

Correct Answer: C

Rationale: Epidural anesthesia can cause hypotension, making blood pressure monitoring a priority.

Question 5 of 5

Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child?

Correct Answer: D

Rationale: Kohlberg's preconventional stage for preschoolers involves moral decisions based on consequences, such as avoiding punishment or gaining rewards.

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