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Questions 149

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Question 1 of 5

The nurse is caring for a client after an open reduction to the left ulna. The client's left arm is in a plaster cast with an Ace wrap for reinforcement. Which intervention by the nurse can offer nonpharmacological comfort to this client?

Correct Answer: A

Rationale: Elevation and ice reduce swelling and pain nonpharmacologically. Scratching under the cast risks skin damage, and excessive movement may disrupt healing.

Question 2 of 5

To maintain Bryant's traction, the nurse must make certain that the child's:

Correct Answer: B

Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to maintain alignment and traction.

Question 3 of 5

The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:

Correct Answer: B

Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.

Question 4 of 5

The nurse is part of an interdisciplinary team in a rehabilitation unit. Which of the following statements by a client is most important to be communicated to the social worker on the team?

Correct Answer: A

Rationale: Inability to afford help (
A) is a social issue requiring the social worker's intervention for resources. Other concerns (B, C,
D) are addressed by therapy or nursing.

Question 5 of 5

A nurse creates a care plan for a client diagnosed with a cerebellar brain tumor. The correct nursing diagnosis for this client is 'Client at risk for injury related to

Correct Answer: A

Rationale: Cerebellar tumors impair coordination and balance, increasing fall risk, making 'impaired balance' the most relevant diagnosis.

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