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Questions 227

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Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 1 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

Extract:

The maximum safe height at which the container of fluid can be held when administering an enema is:


Question 2 of 5

The maximum safe height at which the container of fluid can be held when administering an enema is:

Correct Answer: C

Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.

Extract:

Disease of which of the following structures is most likely to affect electrolyte re-absorption?


Question 3 of 5

Glomerulus

Correct Answer: B

Rationale: Renal tubules are responsible for electrolyte reabsorption, and their dysfunction affects balance.

Extract:

A male, Hispanic client with history of excessive 'alcohol-drinking', was admitted with a diagnosis of recurrent pancreatitis. On admission, the client was complaining of unbearable pain.


Question 4 of 5

The nurse

Correct Answer: A

Rationale: Demerol is preferred for pancreatitis pain to avoid sphincter of Oddi spasm associated with morphine.

Extract:


Question 5 of 5

The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?

Correct Answer: B

Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.

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