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Questions 164

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Question 1 of 5

The nurse admits a 7 year-old to the emergency room after a leg injury. The x-rays show a femur fracture near the epiphysis. The parents ask what will be the outcome of this injury. The appropriate response by the nurse should be which of these statements?

Correct Answer: B

Rationale: An epiphyseal (growth) plate fracture in a 7 year-old often results in retarded bone growth. The leg often will be different in length than the uninjured leg.

Question 2 of 5

The nurse, assisting in applying a cast to a client with a broken arm, knows that the

Correct Answer: C

Rationale: Wet cast should be handled with the palms of hands. This prevents damage to the cast and ensures proper setting.

Question 3 of 5

Which statements made by the client demonstrate a correct understanding of the home care of an ascending colostomy? Select all that apply.

Correct Answer: A,C

Rationale: Enteric-coated medications may not dissolve properly in an ascending colostomy due to shorter intestinal transit time, requiring provider consultation. Limiting odor-causing foods like broccoli helps manage odor. Irrigation is typically for descending/sigmoid colostomies, not ascending. Fluid intake should be adequate (not restricted), and pouches should be emptied when one-third to half full to prevent leaks.

Question 4 of 5

Because a client has Addison's disease, the nurse would expect to see which of the following in the nursing assessment?

Correct Answer: C

Rationale: Addison's disease causes cortisol and aldosterone deficiency, leading to hypotension. Fat pads and puffy face are Cushing's symptoms, and ecchymosis is less specific.

Question 5 of 5

A client is admitted for treatment of a right upper lobe infiltrate and to rule out tuberculosis. Which of these would be the most appropriate self-protective action by the nurse?

Correct Answer: C

Rationale: Tight fitting, high-efficiency masks are required when caring for clients who have a suspected communicable disease of the airborne variety.

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