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Questions 148

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Question 1 of 5

The nurse is caring for a client with an endemic goiter. The nurse recognizes that the client's condition is related to:

Correct Answer: A

Rationale: Endemic goiter is caused by iodine deficiency, often due to low iodine levels in soil, leading to inadequate thyroid hormone production.

Question 2 of 5

A child with achondroplasia will likely have which of the following physical characteristics?

Correct Answer: D

Rationale: Achondroplasia causes dwarfism, short fingers/toes, and short proximal limbs due to impaired cartilage growth.

Question 3 of 5

A client with a head injury develops syndrome of inappropriate antidiuretic hormone (SIADH). Which physician prescription would the nurse question?

Correct Answer: A

Rationale: D5W at 200 mL/hr is inappropriate for SIADH, as it can worsen hyponatremia by adding free water. The other options are appropriate for monitoring and treating SIADH.

Question 4 of 5

The chest tube drainage system has continuous bubbling in the water seal chamber. When the nurse clamps different areas of the tube to find out where the bubbling stops, he is checking for:

Correct Answer: A

Rationale: Continuous bubbling in the water seal chamber indicates an air leak, either from the lung or the system. Clamping helps locate the source of the leak.

Question 5 of 5

Upon admission to the hospital, a client reports having 'the worst headache I've ever had.' The nurse should give the highest priority to:

Correct Answer: C

Rationale: A sudden, severe headache may indicate a serious condition like subarachnoid hemorrhage. Neuro checks are the priority to assess for neurological changes.

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