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Questions 164

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Question 1 of 5

The nurse is caring for a client with acute pancreatitis. While obtaining the client's blood pressure, the nurse notes a carpal spasm. The nurse should obtain a blood specimen to check the client's serum

Correct Answer: A

Rationale: Carpal spasm (Trousseau's sign) suggests hypocalcemia (
A), common in pancreatitis. Albumin (
B), troponin (
C), and potassium (
D) are unrelated to this finding.

Question 2 of 5

Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?

Correct Answer: D

Rationale: Tube patency should be checked prior to all feedings. The feeding should not be attempted if the tube is not patent.

Question 3 of 5

The nurse prepares a 7-year-old client for an influenza injection. The nurse explains that the client will receive 'medicine under the skin,' and the client is visibly anxious. Which nursing intervention is appropriate?

Correct Answer: D

Rationale: Hiding the needle (
D) reduces anxiety. Counting (
A) may not distract enough, holding arms (
B) can increase fear, and denying pain (
C) is dishonest.

Question 4 of 5

A client is admitted for hemodialysis. Which abnormal lab value would the nurse anticipate not being improved by hemodialysis?

Correct Answer: A

Rationale: Low hemoglobin. Hemodialysis corrects electrolyte imbalances but does not improve anemia.

Question 5 of 5

The mother of a newborn asks why the nurse is checking the baby's nose. The nurse replies that it is important to check nasal patency because the newborn:

Correct Answer: B

Rationale: Newborns are obligate nose breathers, making nasal patency critical to prevent respiratory distress. Sneezing ability, apnea, or rapid respirations are unrelated.

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