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Questions 149

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Question 1 of 5

The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn't show up in the nursery. The nurse's response is based on the knowledge that:

Correct Answer: D

Rationale: Fetal hemoglobin, present in newborns, inhibits sickling, masking sickle cell anemia symptoms until fetal hemoglobin decreases after several months.

Question 2 of 5

A client who has just undergone a laparoscopic cholecystectomy complains of 'free air pain.' What would be your best action?

Correct Answer: A

Rationale: Free air pain' after laparoscopic cholecystectomy is due to residual carbon dioxide in the abdomen. Ambulation helps disperse the gas and relieve pain.

Question 3 of 5

A nurse is working with an immobile client and doing passive range-of-motion (ROM) exercises on his legs. The client states the exercise is too painful and does not want to continue. The nurse should

Correct Answer: D

Rationale: Pain during ROM exercises may indicate injury. Stopping the exercise prevents harm, with further assessment or pain management to follow.

Question 4 of 5

The nurse is preparing to test a client who has the herpes virus. Which of the following tests should the nurse perform?

Correct Answer: C

Rationale: The Tzanck test is used to diagnose herpes virus infections by examining cells from a lesion for characteristic changes.

Question 5 of 5

An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?

Correct Answer: C

Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.

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