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Questions 227

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Extract:

Mrs. Byron rushes into the ER carrying 2-year-old Amanda in her arms. She thrusts a half-empty bottle of aspirin at the nurse and states that he saw Amanda eating them just 30 minutes earlier. After confirming that Amanda had eaten at least six tablets of aspirin


Question 1 of 5

The nurse should

Correct Answer: B

Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption.

Extract:


Question 2 of 5

In a child with suspected coarctation of the aorta, the nurse would expect to find

Correct Answer: D

Rationale: Bounding pulses in the arms. Coarctation causes increased blood flow and pressure in the upper extremities.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

Extract:

Which of the following data reflects that fluid resuscitation on B.C was effective?


Question 4 of 5

Urine output of 300 cc/24H; increased BUN, increased Na+ level.

Correct Answer: C

Rationale: Urine output of 30 cc/hour, decreased BUN, and decreased Na+ level reflect kidney perfusion, indicating effective fluid resuscitation.

Extract:


Question 5 of 5

A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

Correct Answer: D

Rationale: Morton's neuroma is a benign mass in a digital nerve of the foot, causing pain and difficulty walking. The other conditions involve different foot pathologies. Basic Care and Comfort

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