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Questions 149

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Question 1 of 5

The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:

Correct Answer: A

Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.

Question 2 of 5

If a client's LDL cholesterol is 100, HDL cholesterol is 50, and triglycerides are 150, what is the client's total cholesterol? Record your answer using a whole number.

Correct Answer: 180

Rationale:
Total cholesterol = LDL + HDL + (Triglycerides/ 5) = 100 + 50 + (150/ 5) = 100 + 50 + 30 = 180.

Question 3 of 5

Using Naegele's rule for estimating the due date for a pregnancy, if a client's last menstrual cycle started on September 6 and ended September 10, when is the client's approximate due date?

Correct Answer: C

Rationale: Naegele's rule: September 6 + 7 days = September 13, + 9 months = June 13, 2014. Closest is June 10 (
C), adjusting for approximation.

Question 4 of 5

A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to:

Correct Answer: A

Rationale: Vaginal bleeding in labor requires immediate assessment of fetal heart tones to evaluate fetal well-being.

Question 5 of 5

The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:

Correct Answer: A

Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.

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