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1. In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:
A) Encourage more frequent warm baths for the neonate with gentle abdomen massages
B) Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding
C) Tell the mother that you will let the physician know, so the baby can be checked for any obstruction
D) Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician
2. A 65-year-old patient is admitted with ischemic stroke. Which of the following would be initially assessed by the nurse to determine the patient's level of consciousness?
A) Auditory acuity
B) Deep tendon reflexes
C) Visual fields
D) Verbal response
3. A male patient with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The patient experiences severe dizziness when sitting upright. To provide a safe environment, the nurse assists the patient to which position for the procedure?
A) Left side-lying with the head of the bed elevated 45 degrees
B) Sims' position with the head of the bed flat
C) Right side-lying with the head of the bed elevated 45 degrees
D) Prone with head turned toward the side supported by a pillow
4. Whenever a child with thalassemia comes for blood transfusion, he is administered Desferoxamine (Desferal). The action of this drug is to:
A) Inhibit the inflammatory process
B) Increase red blood cell production
C) Enhance iron excretion
D) Antagonize the effect of vitamin C
5. A patient with severe, protracted vomiting will often have what electrolyte abnormality?
A) Increased sodium and decreased chloride
B) Decreased potassium and decreased chloride
C) Decreased sodium and increased chloride
D) Increased potassium and increased sodium
Solutions:
Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |
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