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Questions 149

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Question 1 of 5

The nurse is caring for an infant admitted from the delivery room. Which finding should be reported?

Correct Answer: D

Rationale: Absent femoral pulses suggest coarctation of the aorta, a critical condition.

Question 2 of 5

A student nurse is precepting on the unit and caring for a client with a Dobbhoff nasoenteric tube. Which statement by the student nurse indicates the need for further teaching on caring for a client with this tube? Select all that apply.

Correct Answer: B, C

Rationale: Auscultation is not a reliable method for confirming tube placement; X-ray is required. Mixing medications with feedings can cause clogs or interactions. The other statements are correct.

Question 3 of 5

The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

Correct Answer: C

Rationale: Epidural anesthesia can reduce bladder sensation, necessitating frequent catheterization to prevent overdistension.

Question 4 of 5

The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid). The nurse recognizes that the client should have a negative sputum culture within:

Correct Answer: D

Rationale: With effective treatment, sputum cultures for tuberculosis typically become negative within 2-3 months (approximately 12 weeks), depending on the regimen and adherence.

Question 5 of 5

Which of the following are risk factors for developing glaucoma? Select all that apply.

Correct Answer: C,E

Rationale: Diabetes mellitus and hypertension increase glaucoma risk by affecting ocular blood flow and pressure. Asthma, anemia, and obesity are not direct risk factors.

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