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Extract:

Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte balance?


Question 1 of 5

Skin turgor

Correct Answer: B

Rationale: Intake and output provide the most direct measure of fluid balance.

Extract:


Question 2 of 5

The first postpartal bleeding noted by the mother after delivery is:

Correct Answer: A

Rationale: Lochia rubra is the initial postpartal bleeding, consisting of bright red blood and clots in the first few days after delivery.

Question 3 of 5

A client asks the nurse, 'Do you think I should leave my husband?' The nurse responds, 'You aren't sure if you should leave your husband?' The nurse is using which therapeutic technique?

Correct Answer: C

Rationale: Reflecting is correct because the nurse is referring feelings back to the client to explore. When restating, the nurse simply repeats what the client said. Reframing is offering a new way to look at a situation. The nurse's response is specific; it isn't offering a general lead.

Extract:

Physical findings commonly seen in hypothyroidism include:


Question 4 of 5

Physical findings commonly seen in hypothyroidism include:

Correct Answer: A

Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.

Extract:


Question 5 of 5

A nurse is caring for a newborn who is 2 hours old. Which of the following findings should be reported to the healthcare provider?

Correct Answer: B

Rationale: Jaundice within 24 hours of birth is pathologic, indicating possible hemolytic disease or liver issues, requiring reporting. Heart rate, respiratory rate, and temperature are normal for a newborn.

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