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Questions 227

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Extract:

A patient who suffered burns 48 hours ago is entering the second phase of burn injury.


Question 1 of 5

What physiologic changes can you expect?

Correct Answer: D

Rationale: The second phase involves an inflammatory response, increasing WBC to fight infection.

Extract:


Question 2 of 5

The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?

Correct Answer: A

Rationale: Calcium and phosphorus levels will be elevated until the client is stabilized.

Question 3 of 5

A client with diverticulitis has received nutritional discharge instructions for a high-fiber diet. Which menu selection by the client would reinforce that the teaching was effective?

Correct Answer: C

Rationale: This diet has the highest amount of fiber. Answers A, B, and D have low amounts of fiber, so they're incorrect.

Extract:

You're performing an otoscopic examination on a 6-year-old child who comes to the nurse's office with an earache and a fever.


Question 4 of 5

In which direction should you pull his auricle to straighten the ear canal?

Correct Answer: C

Rationale: Pulling the auricle up and back straightens the ear canal in children over 3.

Extract:


Question 5 of 5

Order: Nitroglycerine 50 mg in 250 mL normal saline, infuse at 10 mcg/min. Calculate the rate in mL/h.

Correct Answer: B

Rationale: 50 mg = 50,000 mcg. 250 mL ÷ 50,000 mcg = 0.005 mL/mcg. 10 mcg/min × 0.005 mL/mcg × 60 min/h = 3 mL/h. Other options are incorrect.

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