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Questions 158

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Question 1 of 5

The mother of a two-year-old with burns over 40% of the body asks the nurse how long it will take for the burns to heal. The nurse’s response is based on the knowledge that second-degree burns require:

Correct Answer: C

Rationale: Second-degree burns, affecting the epidermis and dermis, typically heal in 14–21 days with proper care. Healing time depends on depth and infection control, but 14–21 days is standard.

Question 2 of 5

Assessment of the client's skin reveals numerous café au lait spots over the trunk. These changes are associated with which diagnosis?

Correct Answer: B

Rationale: Café au lait spots are characteristic of neurofibromatosis a genetic disorder affecting nerve tissue. They are not associated with polycythemia vera thalassemia major or acoustic neuroma.

Question 3 of 5

The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:

Correct Answer: D

Rationale: The wound is healing properly and is filled with red granulated tissue and fragile capillaries.

Question 4 of 5

When administering total parenteral nutrition, the nurse should assess the client for signs of rebound hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:

Correct Answer: B

Rationale: Rebound hypoglycemia occurs when TPN is stopped abruptly, causing a rapid drop in blood glucose due to persistent insulin release. Tapering the infusion prevents this.

Question 5 of 5

The nurse is teaching a client with a history of diabetes about eye care. The nurse should tell the client to:

Correct Answer: A

Rationale: Regular eye exams detect diabetic retinopathy early, preventing vision loss in diabetes.

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