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Extract:

On the third day post partum day, a mother asks why her newborn's skin has begun to appear yellow.


Question 1 of 5

The nurse should plan to teach her that the change in skin tone is a result of:

Correct Answer: C

Rationale: Physiologic jaundice results from the breakdown of excess red blood cells in newborns.

Extract:


Question 2 of 5

Three days after a cast is applied to a fracture of the right lower leg the client begins to complain of pain beneath the cast. The nurse should give priority to:

Correct Answer: D

Rationale: Pain beneath a cast may indicate complications like compartment syndrome, requiring immediate physician notification. Elevation or medication may help but are secondary. Pain is not normal .

Question 3 of 5

The nurse is caring for a woman admitted with thrombocytopenia. Which instruction should the nurse give the client?

Correct Answer: B

Rationale: Thrombocytopenia increases bleeding risk; avoiding dental floss or firm toothbrushes prevents gum bleeding, a priority precaution.

Question 4 of 5

The nurse is talking with a client who has just had an ECG. The client says to the nurse, 'The doctor said I had a sinus rhythm. What does that mean?' Which response to the client is best?

Correct Answer: B

Rationale: Sinus rhythm originates from the sinoatrial node, the heart's normal pacemaker, indicating a healthy rhythm. This explanation is accurate and educational without causing alarm or implying unnecessary monitoring.

Question 5 of 5

One of the campers at summer camp sprains his ankle. What action can the nurse take to help reduce the pain?

Correct Answer: B

Rationale: Ice reduces swelling and pain in acute sprains. Exercise, dependent positioning, or steroids are inappropriate initially.

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