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Quiz 1
The nurse performs range-of-motion (ROM) exercises for an elderly client
recently immobilized. The nurse identifies which statement as correct
about range-of-motion?
1. Passive ROM exercises increase muscle strength.
2. A full ROM must be completed for the elderly client.
3. Exercises should be completed to the point of discomfort.
4. ROM assists the elderly to carry out activities of daily living (ADLs).
The nurse cares for an older client scheduled for a colon resection this
morning. The nursenotes the client had polyethylene glycol-electrolyte
solution and a soapsuds enema the previous evening. This morning the
client passes a medium amount of soft brown stool.
Which conclusion by the nurse is most accurate?
1. The bowel preparation is incomplete.
2. The client ate something after midnight.
3. This is an expected finding before this type of surgery.
4. The client passed the last stool left in the colon.
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The nurse cares for the newborn infant diagnosed with fetal alcohol
syndrome. The nurse expects to see which characteristics?
1.
An infant large for gestational age (LGA), craniofacial
abnormalities, andhydrocephalus.
An infant with a small head circumference, low birth weight, and undeveloped
2. cheekbones.
3. An infant with a large head circumference, low birth weight, and
excessive rootingand sucking behaviors.
4. An infant with a normal head circumference, low birth weight, and
respiratorydistress syndrome.
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The nurse watches as a parent and infant interact. The infant throws a
toy to the floor numerous times. The parent picks up the toy and gives it
back to the infant. If the parent does not immediately return the toy, the
infant cries loudly. Which statement by the nurse is best?
1. “Be sure to wipe the toy off each time before you give it back.
These floors arefilthy.”
2.
“Your baby is either stubborn or wants attention, I cannot figure out which
3.
“I remember when my own baby used to do that.”
4. “I bet your baby is about 11 months old. This is normal behavior.”
The nurse admits an older adult client who reports fever and chills to the
medical unit.Which assessment finding most concerns the nurse?
1. The client’s HR 120 beats/min and BP is 90/60 mm Hg.
2. The client's RR is 18 breaths/min and BP is 110/70 mm Hg.
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3. The client's white blood cell count is 16000/µL (16.00×109/L).
4. The client's platelet count is 325 ×10 3/µL (325×109/L).
The nurse provides care for a client in an outpatient clinic who reports
vaginal itching.Which recommendation to the client by the nurse
isappropriate?
1. “Supplement your diet with yogurt and dairy products.”
2. “Douche with an over-the-counter preparation.”
3. “Wash the area with soap and water several times a day.”
4. “Wear underwear that is lined with a cotton crotch.”
The nurse supervises care of a client in Buck traction. Which
observations does the nursedetermine are appropriate? (Select all
that apply.)
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