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Questions 227

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Extract:

After a craniotomy for the removal of hematoma sustained in a fall, the patient is returned to the recovery room.


Question 1 of 5

The nurse places the child in a semi-fowler's position to

Correct Answer: A

Rationale: This position utilizes gravity to drain fluid from the head and prevent fluid accumulation, reducing the risk of increased intracranial pressure.

Extract:


Question 2 of 5

Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?

Correct Answer: C

Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.

Question 3 of 5

Upon entering a client's room, the nurse sees and smells smoke and flames. What is the best initial nursing action?

Correct Answer: B

Rationale: Moving the client out of the room prioritizes patient safety, following the RACE (Rescue, Alarm, Contain, Extinguish) fire protocol.

Extract:

Disease of which of the following structures is most likely to affect electrolyte re-absorption?


Question 4 of 5

Glomerulus

Correct Answer: B

Rationale: Renal tubules are responsible for electrolyte reabsorption, and their dysfunction affects balance.

Extract:


Question 5 of 5

An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?

Correct Answer: B

Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.

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