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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 nurse is caring for a client who has just undergone an ileostomy procedure. The nurse expects how much drainage from the ileostomy during the first 24 hours post-op?

Correct Answer: B

Rationale: Ileostomy drainage in the first 24 hours post-op is typically 500-1,000 mL due to liquid stool output. 800 mL is the most reasonable estimate.

Question 3 of 5

Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

Correct Answer: C

Rationale: Immunosuppressants, such as cyclosporine, prevent the immune system from forming antibodies against the transplanted heart.

Question 4 of 5

The nurse asks the client with an epidural anesthesia to void every hour during labor. The rationale for this intervention is:

Correct Answer: C

Rationale: Epidural anesthesia can diminish bladder sensation, increasing the risk of urinary retention, so hourly voiding is encouraged.

Question 5 of 5

The nurse is assessing a client with an altered level of consciousness. One of the first signs of altered level of consciousness is:

Correct Answer: C

Rationale: Restlessness is often an early sign of altered consciousness, indicating neurological changes before more severe symptoms appear.

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