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The nurse is making initial rounds on a client with a C5
fracture and crutchfield thongs. Which equipment should
be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver - Answer-B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and
loosen the screws of crutchfield tongs. This wrench
controls the amount of pressure that is placed on the
screws.
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An infant weighs 7 pounds at birth. The excpectd weight
by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds - Answer-D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1
year or triple the his birth weight.
A client is admitted with a Ewing's sacroma. which
symptoms would be expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain - Answer-D. Bone Pain
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why?
Sacroma is a type of bone cancer, therefor, bone pain
would be expected
The nurse is caring for a client with epilepsy who is being
treated with carbamazepine (Tegretol). Which labatory
value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter - Answer-C.
WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the
white blood cells count; thus, a lab value of WBC 2,000
per cubic millimeter indicates side effects of the drug.
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A 6-month-old client is admitted with possible
intussuception. Which question during the nursing history
is least helpful in obtaining information regarding this
diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" -
Answer-C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual
diet. A, B, and D are useful in determining the extent of
disease process and thus, are incorrect
the nurse is caring for a client scheduled for removal of a
pituitary tumor using the transsphenoidal approach. the
nurse should be particularly alert to:
A. Nasal congestion
B. Abdominal Tenderness