A patient had a lumbar injury. Which neurological test by the nurse would be affected?

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Question 1 of 5

A patient had a lumbar injury. Which neurological test by the nurse would be affected?

Correct Answer: C

Rationale: Romberg's test is a neurological test that assesses the function of the dorsal columns of the spinal cord, which are responsible for proprioception and vibration sensations. A lumbar injury can affect these dorsal columns, leading to impaired proprioception. Therefore, the Romberg's test would be affected due to the compromised sensory input from the lower extremities. This test usually involves asking the patient to stand with feet together and eyes closed to assess balance and proprioception.

Question 2 of 5

The basic principle of healthy sleep hygiene which is NOT included is

Correct Answer: D

Rationale: Heavy meals close to bedtime disrupt sleep.

Question 3 of 5

When caring for the child with Kawasaki disease, the nurse should know which information?

Correct Answer: D

Rationale: Kawasaki disease is an acute febrile illness that primarily affects children. The therapeutic management of Kawasaki disease includes the administration of gamma globulin and aspirin. Intravenous immunoglobulin (IVIG) or gamma globulin is given as a single dose to reduce the risk of coronary artery abnormalities, while aspirin is used for its anti-inflammatory effects. It is important to note that aspirin should not be given to children with viral infections due to the risk of Reye syndrome. Therefore, option D is the correct choice in this case.

Question 4 of 5

A nurse is teaching a class on breastfeeding to expectant parents. Which are contraindications for breastfeeding? (Select all that apply.)

Correct Answer: A

Rationale: Human immunodeficiency virus (HIV) in mother: Breastfeeding is contraindicated in mothers with HIV because the virus can be transmitted to the infant through breast milk.

Question 5 of 5

Which of the ff finding would confirm that a female client has mastitis? Choose all that apply

Correct Answer: C

Rationale: Mastitis is an inflammatory condition of the breast tissue, often caused by an infection. Common symptoms of mastitis in a female client include swollen, firm, and hard breasts. These changes in breast tissue texture are indicative of inflammation and infection. Other possible signs of mastitis may include redness, warmth, and tenderness in the affected breast. The presence of swollen, firm, and hard breasts would confirm the diagnosis of mastitis in a female client.

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