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Questions 149

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Extract:


Question 1 of 5

While reviewing the chart of a client with a history of hepatitis B, the nurse finds a serologic marker of HBsAg. The nurse recognizes that the client:

Correct Answer: A

Rationale: Presence of HBsAg indicates active hepatitis B infection, either acute or chronic, and potential infectivity.

Question 2 of 5

An 82-year-old woman is being admitted to a long-term care facility. Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale. To determine a Braden Scale score, the nurse evaluates all of the following EXCEPT

Correct Answer: C

Rationale: The Braden Scale assesses sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Past history of skin breakdown is not a scored category.

Question 3 of 5

Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:

Correct Answer: C

Rationale: Cereal pieces are soft, safe, and promote chewing without the choking risk posed by hot dogs, carrots, or sticky raisins in toddlers.

Question 4 of 5

The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

Correct Answer: C

Rationale: Halo traction is used for cervical fractures and can be maintained post-discharge for stabilization.

Question 5 of 5

An elderly client is hospitalized for a transurethral prostatectomy. Which finding should be reported to the doctor immediately?

Correct Answer: B

Rationale: Bright red urine with many clots indicates significant bleeding, a potential emergency post-transurethral prostatectomy, requiring immediate reporting.

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