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Questions 227

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Extract:


Question 1 of 5

In a child with suspected coarctation of the aorta, the nurse would expect to find

Correct Answer: D

Rationale: Bounding pulses in the arms. Coarctation causes increased blood flow and pressure in the upper extremities.

Extract:

The school nurse found out that the boy in the class has head lice.


Question 2 of 5

What is your nursing priority?

Correct Answer: C

Rationale: Informing the mother ensures prompt treatment and prevents spread.

Extract:


Question 3 of 5

The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?

Correct Answer: C

Rationale: A tall peaked T wave is a sign of hyperkalemia. The provider should be notified regarding discontinuing the medication.

Extract:

Mrs. Byron rushes into the ER carrying 2-year-old Amanda in her arms. She thrusts a half-empty bottle of aspirin at the nurse and states that he saw Amanda eating them just 30 minutes earlier. After confirming that Amanda had eaten at least six tablets of aspirin


Question 4 of 5

The nurse should

Correct Answer: B

Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption.

Extract:


Question 5 of 5

Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?

Correct Answer: D

Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.

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