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Questions 149

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Extract:


Question 1 of 5

The nurse is assessing a newborn 24 hours after birth. Which of the following findings would require further evaluation?

Correct Answer: C

Rationale: milia are normal, but persistent or widespread milia may indicate other issues; other findings are within normal limits for a newborn

Question 2 of 5

A client who experienced a cardiac arrest and resuscitation is exhibiting characteristics of mild anoxic brain injury. Which of the following characteristics does the nurse expect her to exhibit? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Mild anoxic brain injury may cause decreased concentration (
A), memory impairment (
C), decreased balance (E), and restlessness (F). Seizures (
B) and semicomatose state (
D) are more typical of severe injury.

Question 3 of 5

Which laboratory test is used to identify injury to the myocardium and can remain elevated for up to 3 weeks?

Correct Answer: D

Rationale: Troponin T or I is highly specific for myocardial injury and can remain elevated for up to 2-3 weeks, making it the best marker for detecting cardiac damage.

Question 4 of 5

The nurse is caring for a 6-year-old client admitted with the diagnosis of conjunctivitis. Before administering eyedrops, the nurse should recognize that it is essential to consider which of the following?

Correct Answer: A

Rationale: Cleansing the eye removes exudate, ensuring effective administration of eyedrops for conjunctivitis.

Question 5 of 5

When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:

Correct Answer: A

Rationale: Extracorporeal lithotripsy breaks up kidney stones, leading to cherry-red urine from minor bleeding that clears as healing progresses.

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