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Questions 148

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Question 1 of 5

The nurse is teaching the mother of a newborn to care for the umbilical cord. What should the nurse advise the mother to do if the cord becomes soiled with urine or feces?

Correct Answer: C

Rationale: Washing with mild soap and water, rinsing, and drying (
C) cleans the umbilical cord safely without irritation. Alcohol (
A) and povidone-iodine (
D) may be too harsh, and a dry cloth (
B) is ineffective.

Question 2 of 5

The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?

Correct Answer: B

Rationale: An open fracture with protruding bone risks infection. Covering with a sterile dressing is the priority to prevent contamination. Traction or bandaging may worsen the injury.

Question 3 of 5

A client with acute alcohol intoxication is being treated for hypomagnesemia. During assessment of the client, the nurse would expect to find:

Correct Answer: D

Rationale: Hypomagnesemia can cause a positive Trousseau's sign, indicating neuromuscular irritability due to low magnesium levels.

Question 4 of 5

The nurse is caring for a client with rheumatoid arthritis. The nurse knows that the client's symptoms will be most improved by:

Correct Answer: A

Rationale: A warm shower reduces morning stiffness in rheumatoid arthritis by improving joint mobility and reducing inflammation.

Question 5 of 5

The physician has ordered injections of Neumega (oprellvekin) for a client receiving chemotherapy for prostate cancer. Which finding suggests that the medication is having its desired effect?

Correct Answer: B

Rationale: Neumega (oprelvekin) stimulates platelet production, so a platelet count of 250,000 mm³ indicates effectiveness.

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