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Questions 149

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Question 1 of 5

The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT

Correct Answer: D

Rationale: Serotonin syndrome involves cognitive (confusion), autonomic (fever, sweating), and somatic (tremors, rigidity) effects. Behavioral effects are not part of the classic triad.

Question 2 of 5

The nurse understands that the diagnosis of oral cancer is confirmed with:

Correct Answer: A

Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.

Question 3 of 5

The physician orders the removal of an in-dwelling catheter the second postoperative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:

Correct Answer: D

Rationale: Pain and dribbling post-catheter removal are common due to bladder irritation and will typically improve within days.

Question 4 of 5

An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:

Correct Answer: C

Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.

Question 5 of 5

A newborn diagnosed with bilateral choanal atresia is scheduled for surgery soon after delivery. The nurse recognizes the immediate need for surgery because the newborn:

Correct Answer: D

Rationale: Bilateral choanal atresia blocks the nasal passages, preventing nasal breathing, which is critical for newborns who are obligate nose breathers.

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