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Questions 149

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Question 1 of 5

Which statement is true regarding the infant's susceptibility to pertussis?

Correct Answer: B

Rationale: Infants are highly susceptible to pertussis from birth, as maternal immunity is minimal, and severe cases are common in this age group.

Question 2 of 5

A client is admitted with a diagnosis of pernicious anemia. Which of the following signs or symptoms would indicate that the client has been noncompliant with ordered B12 injections?

Correct Answer: C

Rationale: Pernicious anemia causes B12 deficiency, leading to neurological symptoms like paresthesia. Noncompliance with B12 injections would result in persistent or worsening paresthesia.

Question 3 of 5

A client with pregnancy-induced hypertension is scheduled for a C-section. Before surgery, the nurse should keep the client:

Correct Answer: C

Rationale: The left lateral position improves uterine perfusion and reduces pressure on the vena cava in clients with pregnancy-induced hypertension.

Question 4 of 5

The nurse is giving an end-of-shift report when a client with a chest tube is noted in the hallway with the tube disconnected. What is the most appropriate action?

Correct Answer: B

Rationale: A disconnected chest tube risks air entering the pleural space, causing pneumothorax. Placing the end in sterile saline creates a water seal, preventing air entry until reconnection.

Question 5 of 5

A client is 2 days post-operative colon resection. After a coughing episode, the client's wound eviscerates. Which nursing action is most appropriate?

Correct Answer: C

Rationale: Covering the eviscerated wound with a sterile saline-soaked dressing keeps the protruding organs moist and prevents infection until surgical repair.

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