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Questions 149

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Question 1 of 5

The nurse is preparing to test a client who has the herpes virus. Which of the following tests should the nurse perform?

Correct Answer: C

Rationale: The Tzanck test is used to diagnose herpes virus infections by examining cells from a lesion for characteristic changes.

Question 2 of 5

The client who is 2 weeks post-burn with a 40% deep partial-thickness injury still has open wounds. The nurse's assessment reveals the following findings: temperature 96.5°F, BP 87/40, and severe diarrhea stools. What problem does the nurse most likely suspect?

Correct Answer: C

Rationale: Hypothermia, hypotension, and diarrhea suggest systemic gram-negative infection, likely sepsis, due to bacterial translocation from open wounds or the gut in a burn patient.

Question 3 of 5

The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:

Correct Answer: D

Rationale: Most children have all 20 primary teeth by 30 months, with eruption typically completing between 2-3 years.

Question 4 of 5

The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:

Correct Answer: C

Rationale: Normal pH with elevated CO2 and bicarbonate indicates compensated respiratory acidosis, typical in COPD.

Question 5 of 5

A client seen in the doctor's office for complaints of nausea and vomiting is sent home with directions to follow a clear-liquid diet for the next 24-48 hours. Which of the following is not permitted on a clear-liquid diet?

Correct Answer: C

Rationale: Ice cream is not a clear liquid, as it is opaque and contains dairy.

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