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Extract:

The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:


Question 1 of 5

The nurse should recognize that further teaching is needed when a patient with glaucoma states, 'it would be dangerous for me to:

Correct Answer: C

Rationale: Atropine increases intraocular pressure, worsening glaucoma, indicating correct understanding.

Extract:


Question 2 of 5

The nurse is administering terbutaline (Brethine) to a client in labor. Prior to administration of the medication, the nurse assesses the client's pulse to be 144. The nurse's priority action should be to

Correct Answer: A

Rationale: Terbutaline, a tocolytic, can cause maternal tachycardia. A pulse of 144 indicates significant tachycardia, a side effect requiring the medication to be withheld to prevent further cardiovascular strain. Decreasing the dose (
B) is not within nursing scope, administering (
C) ignores the risk, and waiting (
D) delays intervention.

Extract:

A new mother has some questions about PKU.


Question 3 of 5

Which of the following statements made by the nurse is correct regarding PKU?

Correct Answer: B

Rationale: The PKU test is performed shortly after birth to detect phenylalanine levels.

Extract:

Hirschprung's Disease is somewhat similar to cystic fibrosis. In both diseases, the newborn does not pass out meconium.


Question 4 of 5

Pathophysiologically, in Hirschprung's Disease, the child's affected organ is:

Correct Answer: B

Rationale: Hirschprung's disease involves aganglionic segments of the large intestine, causing obstruction.

Extract:


Question 5 of 5

A patient with borderline personality disorder is exhibiting self-harming behaviors. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: Providing immediate medical care for injuries ensures safety and addresses physical harm, the priority in self-harming behaviors. Ignoring, punishing, or only discussing feelings delays critical intervention.

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