Nokea
The nurse teaches the trainers that adolescent soccer players are at increased risk for which abnormality?
- A. Varus knee deformities
- B. Valgus knee deformities
- C. Varus ankle deformities
- D. Valgus ankle deformities
Correct Answer: A
Rationale: Adolescent soccer players are at risk for varus knee deformities due to repetitive stress on the knees.
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Which action by the nurse would be most appropriate for a child newly diagnosed with Reye's syndrome?
- A. Determining if the child had a bacterial infection recently
- B. Placing the child in a private room with droplet precautions
- C. Taking the child to the unit's play area to interact with others
- D. Assessing for signs of bleeding and for prolonged bleeding time
Correct Answer: D
Rationale: Assessing for bleeding is critical in Reye's syndrome due to liver dysfunction and potential coagulopathy.
The nurse is analyzing the serum laboratory report for the client diagnosed with lung cancer that has metastasized to the pelvic bone. Which specific finding should the nurse anticipate?
- A. Elevated calcium
- B. Decreased hemoglobin
- C. Elevated creatinine (SCr)
- D. Elevated creatine kinase (CK)
Correct Answer: A
Rationale: A. Malignant tumors cause hypercalcemia through a variety of mechanisms, one being an increased release of calcium from the bones.
The nurse is teaching the client with carpal tunnel syndrome how best to utilize a wrist splint. Which statement is most appropriate for the nurse to include in the teaching?
- A. Leave the splint in place even when bathing.
- B. Wear the splint as tight as can be tolerated.
- C. Remove the splint intermittently throughout the day.
- D. Only wear the splint when doing work that stresses the fingers.
Correct Answer: C
Rationale: C. Although the splint decreases swelling and promotes healing and is necessary in the management of the pain with carpal tunnel syndrome, it should be removed intermittently during the day to exercise the wrist and bathe.
The nurse is caring for the client who had a right shoulder replacement. Which data warrant immediate intervention?
- A. The client’s hemoglobin is 8.1 g/dL.
- B. The client’s white blood cell count is 9,000/mm3.
- C. The client’s creatinine level is 0.8 mg/dL.
- D. The client’s potassium level is 4.2 mEq/L.
Correct Answer: A
Rationale: Hemoglobin of 8.1 g/dL indicates significant blood loss, requiring urgent intervention post-shoulder replacement. Other values are normal.
The 10-year-old, who is Chinese, is scheduled to receive methotrexate to treat IRA. Which information in the medical record of a 10-year-old Chinese child scheduled to receive methotrexate for JRA should prompt the nurse to withhold the dose and contact the HCP?
- A. H&P documentation
- B. Laboratory findings
- C. Vital signs abnormalities
- D. Physical assessment findings
Correct Answer: B
Rationale: Abnormal laboratory findings, such as liver or kidney dysfunction, may contraindicate methotrexate administration.