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Questions 160

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Question 1 of 5

Which assessment finding best indicates that Bryant's traction is applied properly to a small child?

Correct Answer: C

Rationale: Bryant's traction for pediatric femoral fractures requires the child's buttocks to be slightly elevated off the mattress to maintain proper alignment and traction force.

Question 2 of 5

The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the "OK" sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client's abrupt departure?

Correct Answer: C

Rationale: A. Since the client had participated in the discussion up to the point of the nurse's actions, he obviously was not uncomfortable with the discussion. B. A Latino is usually not uncomfortable with close personal space; some Latinos perceive Anglos as distant because they prefer more personal space during a conversation. C. In much of Latin America, the North American "OK" sign (i.e., pinched thumb and forefinger) may be considered obscene. D. Anger and an abrupt departure are usually not behaviors displayed by the client when teaching is completed.

Question 3 of 5

What is the best evidence that a postpartum client's Kegel exercises are effective?

Correct Answer: D

Rationale: Effective Kegel exercises strengthen pelvic floor muscles, allowing the client to control urine flow, indicating success.

Question 4 of 5

The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?

Correct Answer: A

Rationale: A. Estrogen has a positive and protective effect on the function of the heart and blood vessels. B. Menopause is not known to cause a specific food craving. C. Progesterone, which decreases with menopause, is more linked to weight gain. D. Continued exercise and activity in menopause positively affects a woman's health.

Question 5 of 5

The nurse is teaching a client about managing hypertension. Which instruction is most appropriate?

Correct Answer: A

Rationale: Limiting sodium to 2 g/day helps reduce blood pressure in hypertension.

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