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Questions 158

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Question 1 of 5

While caring for a client in the second stage of labor, the nurse notices a pattern of early decelerations. The nurse should:

Correct Answer: D

Rationale: Early decelerations are benign, caused by fetal head compression during labor, and require only documentation, as they do not indicate fetal distress.

Question 2 of 5

The nurse is caring for a patient following a thyroidectomy. Which of the following is an early symptom of hypocalcemia?

Correct Answer: C

Rationale: Numbness or tingling in the extremities is an early sign of hypocalcemia, which can occur post-thyroidectomy due to parathyroid gland disruption. Chvostek’s sign and prolonged QT intervals are later signs, and 3+ reflexes are not specific.

Question 3 of 5

The nurse is teaching a client with a history of psoriasis about skin care. The nurse should tell the client to:

Correct Answer: A

Rationale: Moisturizing the skin helps reduce dryness and scaling in psoriasis, improving skin barrier function and comfort.

Question 4 of 5

The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid:

Correct Answer: B

Rationale: Offering a pacifier can disrupt the surgical repair of a cleft lip by placing pressure on the suture line. Holding, providing a mobile, and offering sterile water are safe and comforting.

Question 5 of 5

The physician decides to prescribe both a short-acting insulin and an intermediate-acting insulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulin is:

Correct Answer: A

Rationale: Novolin is a short-acting insulin. (B,
C) NPH and Lente are intermediate-acting insulins. Protamine zinc insulin is a long-acting insulin preparation.

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