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Questions 227

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Extract:

A new mother has some questions about PKU.


Question 1 of 5

Which of the following statements made by the nurse is correct regarding PKU?

Correct Answer: B

Rationale: The PKU test is performed shortly after birth to detect phenylalanine levels.

Extract:


Question 2 of 5

The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?

Correct Answer: A

Rationale: A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (
B), spasticity (
C), and numbness (
D) are expected or less urgent.

Extract:

A patient with Alzheimer's disease is admitted with suspected dehydration after his daughter reports that he's refused to drink anything for the past 3 days.


Question 3 of 5

Which lab result is most expected with dehydration?

Correct Answer: B

Rationale: Hypernatremia (elevated sodium) is expected in dehydration due to water loss.

Extract:


Question 4 of 5

Which teaching method is most effective when providing health care instructions to members of specific populations?

Correct Answer: A

Rationale: The teach-back method ensures understanding by having patients repeat instructions in their own words, making it ideal for diverse populations with varying literacy levels. Video, written, or verbal methods may not confirm comprehension.

Extract:

A newly diagnosed HIV patient is in your care. The patient has a positive PPD result of 5 mm induration and a normal CXR.


Question 5 of 5

Which of the following represents preferred treatment of this patient?

Correct Answer: A

Rationale: INH with pyridoxine is the standard treatment for latent TB in HIV patients with a positive PPD.

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