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Questions 164

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Question 1 of 5

The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?

Correct Answer: D

Rationale: Color. Acrocyanosis (blue hands and feet) is the most common Apgar score deduction, and is a normal adaptation in the newborn.

Question 2 of 5

The nurse is preparing to change the wound dressing for a client who is receiving negative pressure wound therapy. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: All actions are correct: pain management , skin protection , proper foam sizing , correct pressure , and leak-free dressing ensure effective therapy.

Question 3 of 5

The nurse is discussing hypertension with a group of people. Which person is at greatest risk for hypertension?

Correct Answer: A

Rationale: Age, obesity, smoking, and family history of hypertension confer the highest risk, as seen in the 63-year-old Caucasian female.

Question 4 of 5

A client with AIDS shows symptoms of herpes simplex stomatitis. Which drug therapy can be anticipated for the client?

Correct Answer: C

Rationale: Acyclovir is an antiviral drug used to treat herpes simplex infections, including stomatitis in AIDS patients.

Question 5 of 5

An adult is almost ready for discharge. She has a complicated care regimen to follow. When conducting client teaching, the nurse notes that the client cannot recall basic information that was discussed the day before. The client also appears distracted. When asked if she is feeling comfortable about leaving the hospital, she states, 'There's just too much to learn. I know I'm going to get home and mess something up.' The nurse realizes that the client may be experiencing:

Correct Answer: B

Rationale: Difficulty recalling information and expressed worry about managing care suggest moderate anxiety, impairing learning but not reaching panic.

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