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Questions 149

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Question 1 of 5

The nurse is caring for a client receiving peritoneal dialysis. Which of the following assessment findings would require an intervention by the nurse?

Correct Answer: C

Rationale: indicates peritonitis, also will see nausea and vomiting, anorexia, abdominal pain, tenderness, rigidity

Question 2 of 5

The nurse is caring for a client who is postoperative day 1 following a laparoscopic appendectomy. The client reports shoulder pain. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: shoulder pain after laparoscopic surgery is often due to referred pain from residual carbon dioxide used during the procedure

Question 3 of 5

A pneumonectomy is performed on a client with lung cancer. Which of the following would probably be omitted from the client's plan of care?

Correct Answer: A

Rationale: After a pneumonectomy, the affected lung is removed, and the pleural space fills with fluid naturally, so closed chest drainage is typically not used, unlike in other lung surgeries.

Question 4 of 5

The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 17 mmHg. The nurse recognizes that:

Correct Answer: A

Rationale: An ICP of 17 mmHg is elevated (normal is 7-15 mmHg), indicating increased intracranial pressure, which requires immediate notification of the physician.

Question 5 of 5

A labor and delivery nurse is caring for a newborn baby whose mother was a regular cocaine user during the entire pregnancy (prenatal cocaine exposure). The nurse expects the newborn to

Correct Answer: A

Rationale: Prenatal cocaine exposure causes neonatal irritability, sleep disturbances, and a shrill cry due to central nervous system stimulation.

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