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Questions 227

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Extract:


Question 1 of 5

Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects?

Correct Answer: A

Rationale: Red reflex test. A uniform red reflex rules out most serious defects of the cornea, lens, and vitreous chamber.

Extract:

The child with a diagnosis of laryngotracheobronchtis


Question 2 of 5

The child with a diagnosis of laryngotracheobronchtis should be observed for:

Correct Answer: B

Rationale: Laryngotracheobronchitis (croup) is characterized by inspiratory stridor and potential lethargy due to airway obstruction.

Extract:

The physician orders non-weight bearing with crutches for a patient with a leg injury.


Question 3 of 5

The nurse would recommend which of the following herb to the patient with vomiting and nausea?

Correct Answer: A

Rationale: Ginger root is effective for nausea and vomiting, a safe herbal recommendation.

Extract:


Question 4 of 5

A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?

Correct Answer: B

Rationale: Pyelonephritis often ascends from untreated cystitis, a lower urinary tract infection. Pharyngitis, urolithiasis, or uric acid diet are not primary risk factors.

Question 5 of 5

A case management clinical pathway for congestive heart failure might include all of the following except:

Correct Answer: D

Rationale: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider.

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