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Questions 149

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Question 1 of 5

Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell's traction?

Correct Answer: B

Rationale: A 12-year-old male with a similar condition provides age-appropriate companionship and shared care needs.

Question 2 of 5

Which of the following would be considered a sensible type of fluid loss?

Correct Answer: A

Rationale: Sensible fluid loss is measurable, such as sweat or urine. Respiratory excretions, vomit, and fecal water loss are insensible (not easily measured).

Question 3 of 5

The nurse is monitoring a client's cardiac rhythm when an abnormal rhythm occurs. Which of the following cardiac rhythms does the ECG strip (see image) indicate?

Question Image

Correct Answer: B

Rationale: Without the ECG strip, ventricular tachycardia (
B) is a common abnormal rhythm requiring urgent intervention, characterized by wide QRS complexes. Other rhythms (A, C,
D) have distinct patterns.

Question 4 of 5

Two Mexican immigrant families live closely together and share goods, services, and childcare. To which of the following family structures does this model correspond?

Correct Answer: A

Rationale: A kinship network (
A) involves close family units sharing resources, typical in some Mexican cultures. Extended (
D) is broader, nuclear (
C) is single-family, and binuclear (
B) involves divorce.

Question 5 of 5

The nurse is caring for a client who is postoperative day 2 following a total knee replacement. The client reports pain at the surgical site and has a temperature of 100.8°F (38.2°C). Which of the following actions should the nurse take FIRST?

Correct Answer: D

Rationale: assessing the surgical site for signs of infection is the first step to determine the cause of the fever and pain

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