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Questions 227

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Extract:


Question 1 of 5

The nurse is caring for a client who is on bed rest for an extended period of time. When planning care, the nurse knows that which nursing action will do most to help prevent muscle atrophy?

Correct Answer: D

Rationale: Active exercises, when possible, maintain muscle strength and prevent atrophy most effectively. Passive ROM, turning, or position changes are less effective for muscle preservation.

Extract:

Fluid shift occurs immediately following the onset of burn.


Question 2 of 5

Nursing assessment indicating fluid shift include:

Correct Answer: B

Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 3 of 5

Which of the following indicate that the nurse understands the plan of care for Marie?

Correct Answer: B

Rationale: Reverse isolation protects neutropenic patients from infections.

Extract:

Following a successful treatment from hypothyroidism, the patient is discharged with Synthroid.


Question 4 of 5

Which of the following discharged instruction is inappropriate?

Correct Answer: D

Rationale: Synthroid is best taken in the morning to avoid insomnia, making bedtime administration inappropriate.

Extract:


Question 5 of 5

The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:

Correct Answer: D

Rationale: Polio, pertussis, and measles vaccines are critical for preventing communicable diseases through routine childhood immunization. The other options include diseases without available vaccines or less relevant combinations. Physiological Adaptation

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