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Questions 227

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Extract:


Question 1 of 5

While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?

Correct Answer: A

Rationale: Respecting the client's cultural preferences by arranging for a medicine woman demonstrates cultural sensitivity and supports client-centered care. The other responses are dismissive or culturally insensitive. Reduction of Risk Potential

Question 2 of 5

When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?

Correct Answer: A

Rationale: Measuring from the corner of the mouth to the tragus of the ear ensures the oropharyngeal airway is the correct size to maintain an open airway without causing obstruction. Reduction of Risk Potential

Extract:

The school nurse found out that the boy in the class has head lice.


Question 3 of 5

What is your nursing priority?

Correct Answer: C

Rationale: Informing the mother ensures prompt treatment and prevents spread.

Extract:


Question 4 of 5

The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?

Correct Answer: A

Rationale: Make certain the child is maintained in correct body alignment. Proper alignment ensures effective traction and prevents complications.

Question 5 of 5

A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.

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