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Questions 227

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Extract:


Question 1 of 5

Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?

Correct Answer: D

Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.

Question 2 of 5

An adult has low back pain. Which position is likely to be most comfortable for the client?

Correct Answer: C

Rationale: Side-lying with knees flexed reduces lumbar strain, easing low back pain. Prone, supine, or semi-sitting positions may exacerbate discomfort.

Extract:

The day before a patient who has had a subtotal gastrectomy is to be discharged, the patient complains of perspiring and having epigastric discomfort about a half hour after eating lunch. The symptoms disappear within a few minutes.


Question 3 of 5

The nurse recognizes that the teaching about prevention is understood when the patient states, 'I can limit these symptoms by:

Correct Answer: D

Rationale: Small, low-carbohydrate meals reduce dumping syndrome symptoms post-gastrectomy.

Extract:

Thrombosis in DIC is most likely to affect:


Question 4 of 5

Thrombosis in DIC is most likely to affect:

Correct Answer: D

Rationale: DIC causes microthrombi in small vessels like cutaneous capillaries.

Extract:


Question 5 of 5

The nurse is working with a person who was just diagnosed with diabetes mellitus Type 2. What should the nurse teach the client first?

Correct Answer: B

Rationale: Dietary management is foundational for Type 2 diabetes control, often sufficient initially. Insulin may not be needed, and symptoms/complications are secondary.

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