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Questions 149

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Extract:


Question 1 of 5

The nurse is assisting a client to adjust crutches to the proper measurement. With the client in standing position, where should the tips of the crutches be placed?

Correct Answer: B

Rationale: Crutch tips should be 4-6 inches to the side and 4-6 inches in front of the feet (
B) for stability and balance.

Question 2 of 5

The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

Correct Answer: D

Rationale: Paresthesia of the fingers suggests possible nerve compression or compartment syndrome, which requires immediate reporting to the doctor.

Question 3 of 5

When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

Correct Answer: C

Rationale: Elevating the hips relieves pressure on the prolapsed cord, maintaining fetal oxygenation.

Question 4 of 5

A client is provided instructions for a low-sodium diet. Which statement by the client indicates an understanding of the diet?

Correct Answer: C

Rationale: Potato chips and cheese are high-sodium foods, and avoiding them shows understanding of a low-sodium diet.
Tomatoes and celery are low-sodium, and take-out is often high-sodium.

Question 5 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: essential if client is to perform ADLs

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