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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 caring for a patient with a colostomy. The patient asks, 'Will I ever be able to swim again?' The nurse's best response would be:

Correct Answer: A

Rationale: Swimming is possible with a colostomy if proper precautions, like a waterproof seal, are used to protect the stoma.

Question 3 of 5

The nurse should visit which of the following clients first?

Correct Answer: C

Rationale: Chest pain in a client with a history of angina suggests possible cardiac ischemia, requiring immediate assessment.

Question 4 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 5 of 5

The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

Correct Answer: A

Rationale: Rotating sites prevents skin irritation and ensures consistent absorption.

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