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Questions 176

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Extract:

Laboratory reference ranges
Glucose (random) – newborn < 24 hours old
40-60 mg/dL
(2.2-3.3 mmol/L)


Question 1 of 5

The nurse is monitoring a neonate 1 hour after spontaneous vaginal delivery. Which of the following are expected findings? Select all that apply.

Correct Answer: A, B, E

Rationale: Respirations of 56 (
A), glucose of 60 mg/dL (
B), and white papules (milia) (E) are normal in neonates. A holosystolic murmur (
C) and single transverse crease (
D) suggest congenital abnormalities.

Extract:


Question 2 of 5

A client is to be discharged following the removal of a cataract on the right eye. The nurse should tell the client to:

Correct Answer: B

Rationale: Reporting eye pain immediately is critical as it may indicate complications like infection or increased intraocular pressure. The eye shield is typically worn at night or as directed. Using a pillow is not contraindicated. Dark glasses are often recommended to reduce glare.

Question 3 of 5

A nurse is reinforcing teaching to the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?

Correct Answer: C

Rationale: Staring and inattention (
C) are hallmark signs of absence seizures. Incontinence (
A) and confusion (
B) are more typical of other seizures, and odors (
D) suggest an aura, not typical in absence seizures.

Question 4 of 5

The nurse is beginning nutritional counseling/teaching with a pregnant woman. What is the initial step in this interaction?

Correct Answer: D

Rationale: Assessment is always the first step in planning teaching for any client. A thorough and accurate history is essential for gathering the needed information.

Question 5 of 5

After inserting an indwelling catheter into an adult male, the nurse secures the catheter by:

Correct Answer: A

Rationale: Taping the catheter laterally to the thigh prevents tension or dislodgement while allowing mobility. Upward or downward taping risks kinking, and looping increases infection risk.

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