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Questions 149

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Question 1 of 5

The nurse is evaluating cerebral perfusion outcomes for a client with a subdural hematoma. The nurse evaluates which of the following as a favorable outcome for this client?

Correct Answer: A

Rationale: An arterial blood gas POâ‚‚ of 98 indicates adequate oxygenation, supporting cerebral perfusion, which is a favorable outcome for a subdural hematoma.

Question 2 of 5

Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?

Correct Answer: B

Rationale: Swimming is low-impact, promoting joint mobility and muscle strength without stressing joints in juvenile rheumatoid arthritis.

Question 3 of 5

The nurse is caring for a postpartum client 2 hours post-delivery who is unable to void. Which of the following nursing interventions should be considered initially?

Correct Answer: D

Rationale: Palpating the bladder assesses for distention, which may indicate urinary retention, guiding further interventions without immediately resorting to invasive measures.

Question 4 of 5

An adolescent client hospitalized with anorexia nervosa is described by her parents as 'the perfect child.' When planning care for the client, the nurse should:

Correct Answer: B

Rationale: Activities fostering self-identity address the underlying issues of low self-esteem and perfectionism common in anorexia nervosa.

Question 5 of 5

The physician has ordered Dextrose 5% in normal saline for an infant admitted with gastroenteritis. The advantage of administering the infant's IV through a scalp vein is:

Correct Answer: A

Rationale: Scalp veins allow easier access for IV administration in infants, and the site is more accessible for comforting the infant without disturbing the IV line.

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