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Questions 158

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Question 1 of 5

The surgical nurse is preparing a patient for surgery on the lower abdomen. In which position would the nurse most likely place the client for surgery on this area?

Correct Answer: A

Rationale: The lithotomy position is used for lower abdominal surgeries (e.g., gynecologic procedures) to provide access to the pelvic area. Sim's (
B) is for rectal exams, prone (
C) for back surgeries, and Trendelenburg (
D) for shock or upper abdominal access.

Question 2 of 5

The nurse is educating a group of caregivers about the West Nile virus. A participant asks, 'How can you get the West Nile virus?' The nurse explains that the virus can be transmitted by which source(s)?

Question Image

Correct Answer: A, B, C

Rationale: West Nile virus is transmitted by mosquitoes (
A), blood transfusions (
B), and organ transplants (
C). Birds (
D) and horses (E) are hosts but not direct vectors to humans.

Question 3 of 5

The client is admitted with a diagnosis of molar pregnancy. Which nursing intervention is most appropriate?

Correct Answer: A

Rationale: Molar pregnancy involves abnormal trophoblastic tissue not a viable fetus and can cause significant vaginal bleeding. Monitoring for bleeding is the most appropriate intervention. Cesarean delivery tocolytics and fetal monitoring are not indicated.

Question 4 of 5

The nurse is teaching a client with a history of chronic sinusitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: A humidifier keeps nasal passages moist, reducing irritation and promoting drainage in chronic sinusitis.

Question 5 of 5

Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and full-thickness burns to 25% of her body?

Correct Answer: A

Rationale: Urinary output is a reliable indicator of renal perfusion, which in turn indicates that fluid resuscitation is adequate. IV fluids are adjusted based on the urinary output of the child during fluid resuscitation. Edema is an indication of increased capillary permeability following a burn injury. Hypertension is an indicator of fluid volume excess. Fontanelles close by 18 months of age.

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