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Questions 149

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Question 1 of 5

The charge nurse is making assignments for the day. After accepting the assignment to a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which initial action should the charge nurse take?

Correct Answer: D

Rationale: Asking if the nurse has had chickenpox determines her immunity, as non-immune nurses risk transmitting varicella to an immunocompromised leukemia patient.

Question 2 of 5

The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

Correct Answer: C

Rationale: Repositioning the client can relieve umbilical cord compression, the common cause of variable decelerations.

Question 3 of 5

The nurse is assessing the reflexes of a full-term newborn infant. Which of the following is true regarding newborn reflexes?

Correct Answer: D

Rationale: The Moro reflex, present at birth, typically disappears by 6 months. Babinski persists until ~2 years, fencing (tonic neck) until 4-6 months, and stepping until 1-2 months.

Question 4 of 5

The nurse is preparing to discharge a client diagnosed with gout. Which statement by the client indicates understanding of dietary restrictions while managing gout?

Correct Answer: A

Rationale: Beer, anchovies, and liver are high in purines, which can exacerbate gout, making avoidance appropriate.

Question 5 of 5

The nurse is caring for the client with a 5-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

Correct Answer: B

Rationale: Stained-glass work often involves lead, increasing the risk of lead poisoning (plumbism).

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